Individual
MRS. BEATRIZ MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
CALLE / CEDRO #418, VISTAS DE RIO GRANDE II, RIO GRANDE, PR 00745
(787) 949-7592
Mailing address
VISTAS DE RIO GRANDE I I, CALLE/ CEDRO #418, RIO GRANDE, PUERTO RICO 00745
(787) 949-7592
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
754
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
754
PROFESIONAL LICENSE
PR
Enumeration date
12/29/2014
Last updated
12/29/2014
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