MEDICARE: MRS. MARTHA MALDONADO ALKHALDI APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN9254390	FL

General Provider Information

NPI Number	:	1700130085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARTHA MALDONADO ALKHALDI APRN

Provider Business Mailing Address
First Line	:	PO BOX 198054
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-8054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 SW 73 ST
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143
Country	:	US
Telephone Number	:	786-662-5465
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2012
Last Update Date	:	03/12/2026

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