Individual
MR. ANGEL LUIS MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
HC 1 BOX 3146, LARES, PR 00669-9603
(787) 245-3430
Mailing address
HC 1 BOX 3146, LARES, PR 00669
(787) 245-3430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
JEPPR#5480
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20150424
—
PR
Enumeration date
04/29/2015
Last updated
04/29/2015
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