Individual
DR. JOSE MARIA RODRIGUEZ-MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
177 KNIGHTSBRIDGE ROAD, RIDGELAND, SC 29936-2605
(843) 987-7400
(843) 987-4798
Mailing address
200 CORPORATE BLVD STE 105, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01086626A
IN
207P00000X
Emergency Medicine Physician
48608
KY
207R00000X
Internal Medicine Physician
Primary
01086626A
IN
207R00000X
Internal Medicine Physician
26488
SC
207R00000X
Internal Medicine Physician
48608
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264886
—
SC
Enumeration date
06/30/2006
Last updated
11/16/2021
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