Individual
FREDDY ANTONIO MADERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
AVE HOSTOS # 410, CARRETERA 2, BO SABALOS, MAYAGUEZ, PR 00682-6353
(787) 652-9200
Mailing address
PO BOX 600, MAYAGUEZ, PR 00681-0600
(787) 652-9200
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
018992
PR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
018992
PR
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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