Individual
DR. AWILDA M MALDONADO-MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
(787) 641-4568
Mailing address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
(787) 641-4568
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
7692
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1516
VA STAFF NUMBER
PR
01
—
7692
STATE LICENCE
PR
Enumeration date
08/24/2005
Last updated
02/25/2011
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