Healthcare Provider Details

I. General information

NPI: 1699302679
Provider Name (Legal Business Name): SOLYMAR TORRES MALDONADO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N 35TH AVE STE 670
HOLLYWOOD FL
33021-5435
US

IV. Provider business mailing address

2900 N COMMERCE PKWY PHYSICIAN ENROLLMENT GROUP
MIRAMAR FL
33025-3959
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-1700
  • Fax:
Mailing address:
  • Phone: 954-276-5603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME184712
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: