Individual
BELEN MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CALLE VILELLA, LARES, PR 00669-2460
(787) 432-4924
Mailing address
317 AVENUE G SE, WINTER HAVEN, FL 33880-3640
(407) 669-3578
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
NONE
PR
156FC0801X
Contact Lens Fitter
NONE
PR
156FX1100X
Ophthalmic Technician/Technologist
—
—
156FX1101X
Ophthalmic Assistant
NONE
PR
156FX1201X
Optometric Assistant Technician
—
—
156FX1800X
Optician
Primary
674
PR
332H00000X
Eyewear Supplier
674
PR
Other
Enumeration date
09/15/2010
Last updated
03/24/2026
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