Individual
DIEGO A MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 794-5800
(772) 794-5801
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 794-3364
(772) 794-3366
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME111049
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME111049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005525100
—
FL
01
—
14KL2
BCBS
FL
Enumeration date
05/24/2007
Last updated
04/10/2024
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