Individual
DR. RICARDO MAUEL MATURANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 FIRST STREET, MINEOLA, NY 11501
(646) 606-9533
Mailing address
242 BRADHURST AVE APT 21, NEW YORK, NY 10039
(646) 606-9533
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
304202
NY
Other
Enumeration date
06/19/2015
Last updated
05/17/2021
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