Individual
MERVIN SANCHEZ-MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
536 AVE VICTORIA UBR GARCIA, AGUADILLA, PR 00603
(787) 658-6218
(787) 658-7116
Mailing address
URB MONTE CLARO MA-36, PLAZA 7, BAYAMON, PR 00961
(787) 658-6218
(787) 658-7116
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70
—
PR
Enumeration date
05/21/2021
Last updated
05/21/2021
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