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Individual

DR. CARLA MARIE MAISONET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
917 AVE TITO CASTRO, PONCE, PR 00716-4717

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
32849-R
PR
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
V4146
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32849-R
PUERTO RICO
PR
Enumeration date
06/30/2017
Last updated
11/11/2024
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