Individual
DR. JULIO E VERGNE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CAROLINA SHOPPING COURT, SUITE 201 A, CAROLINA, PR 00985
(787) 767-8758
(844) 759-2966
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
(787) 945-1472
(787) 250-9265
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
015422
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38124000
—
PR
Enumeration date
08/24/2006
Last updated
09/19/2022
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