Organization
NIMAC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL MALDONADO MD (PRESIDENT)
(787) 276-5355
Entity
Organization
Contact information
Practice address
1475 WILSON AVE STE 3A, SAN JUAN, PR 00907
(787) 276-5355
(787) 726-1220
Mailing address
PO BOX 6578 LOIZA ST STA, SAN JUAN, PR 00914
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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