Individual
RAMON MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 NE 9TH CT, HOMESTEAD, FL 33030-4611
(305) 247-9560
(305) 247-9561
Mailing address
45 NE 9TH CT, HOMESTEAD, FL 33030-4611
(305) 247-9560
(305) 247-9561
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME64041
FL
332900000X
Non-Pharmacy Dispensing Site
5719274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036571
NHP
FL
01
—
113927
AMERIGROUP
FL
01
—
217965
AVMED
FL
01
—
2412020
UNITED HEATLH CARE
FL
05
—
254348600
—
FL
01
—
25455
WELLCARE
FL
01
—
32670
BC/BS
FL
01
—
650829674
TAX ID
FL
01
—
F94344
VISTA
FL
Enumeration date
09/15/2005
Last updated
06/17/2014
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