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Individual

ASHLIE MARIE MALDONADO PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
PHSU 388 ZONA INDUSTRIAL REPARADA 2, PONCE, PR 00716
(787) 840-2575
Mailing address
ST 33 URB JARD DE CARIBE #FF34, PONCE, PR 00728
(787) 342-5231

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22885
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1322401-03
FIRST MEDICAL
Enumeration date
05/09/2019
Last updated
02/20/2023
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