Individual
MARTIN MALDONADO-PUEBLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
155636
FL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
155636
FL
208M00000X
Hospitalist Physician
ME155636
FL
Other
Enumeration date
04/06/2019
Last updated
02/05/2025
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