Individual
ANABELLE MALDONADO-MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1190 NW 95 STREET, SUITE 204, MIAMI, FL 33150-2064
(305) 836-5053
(305) 836-9727
Mailing address
1190 NW 95 STREET, SUITE 204, MIAMI, FL 33150-2064
(305) 836-5053
(305) 836-9727
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME 0049821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003580
NHP
FL
01
—
014296
AVMED
FL
01
—
04348
BLUE CROSS BLUE SHIELD
FL
01
—
12606
VISTA
FL
01
—
130009510
RAILROAD MEDICARE
FL
01
—
228896
AMERIGROUP
FL
01
—
4076902
AETNA
FL
05
—
650123120
—
FL
01
—
N1997
WELLCARE
FL
Enumeration date
07/28/2005
Last updated
04/16/2013
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