Individual
MRS. MARTA EVANGELINA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
996 SAN ROBERTO ST., SUITE 301, SAN JUAN, PR 00926
(787) 641-0773
Mailing address
PO BOX 1719, MANATI, PR 00674-1719
(787) 641-0773
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
17420
PR
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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