Individual
JELLYTZA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 AVE PONCE DE LEON STE 106, PONCE DE LEON AVE, SAN JUAN, PR 00907-3951
(787) 250-0852
(787) 250-0852
Mailing address
1225 AVE PONCE DE LEON STE 106, PONCE DE LEON AVE, SAN JUAN, PR 00907-3951
(787) 250-0852
(787) 250-0852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12119
PR
Other
Enumeration date
11/14/2005
Last updated
02/24/2015
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