Individual
ADDISS MALDONADO MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CONSULTORIO MEDICO EL BUEN SAMARITANO CARRETERA 183, CARRETERA 183 KM 10.7 BO. QUEMADOS, SAN LORENZO, PR 00754
(787) 736-8436
Mailing address
HC 2 BOX 10225, JUNCOS, PR 00777-9604
(787) 914-3231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9728
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7540015
HUMANA
PR
01
—
82825
TRIPLE S
PR
Enumeration date
12/21/2005
Last updated
07/26/2019
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