Individual
DR. PURA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARR149 KM 58.2, BARRIO TIERRA SANTA, VILLALBA, PR 00766
(787) 847-4667
(787) 847-6757
Mailing address
ALTURAS DE PENUELAS II CALLE 16 Q 25, PENUELAS, PR 00624-3609
(787) 636-3953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9770
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9770
PROFESIONAL LICENSE
PR
Enumeration date
01/26/2007
Last updated
01/16/2013
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