Organization
M&P CARE AT HOME CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL MALDONADO MD (PRESIDENTE)
(787) 276-5355
Entity
Organization
Contact information
Practice address
611 CALLE MANUEL PAVIA, STE 213, SAN JUAN, PR 00910
(787) 276-5355
(787) 722-2170
Mailing address
PO BOX 6578, LOIZA STATE STATION, SAN JUAN, PR 00914-6578
(787) 276-5355
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57715
TRIPLE S OPTIMO
PR
01
—
601439
MEDICARE Y MUCHO MAS
PR
01
—
7326
AMERICAN HEALTH MEDICARE
PR
Enumeration date
01/22/2007
Last updated
01/08/2014
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