Individual
SARINA MASSO MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-3808
Mailing address
WILFORD HALL AMBULATORY SURGICAL CENTER, 1100 WILFORD HALL LOOP, BLDG. 4554, 59 MDW/GME, JBSA LACKLAND, TX 78236-9908
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME158903
FL
Other
Enumeration date
04/09/2021
Last updated
09/26/2022
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