Individual
MISS MANNETTE MALDONADO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
VILLA RICA AD4 CALLE EDMEE, BAYAMON, PR 00959
(787) 299-0991
Mailing address
VILLA RICA AD4 CALLE EDMEE, BAYAMON, PR 00959
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2795PA
PR
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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