Healthcare Provider Details

I. General information

NPI: 1245182872
Provider Name (Legal Business Name): MARIA MADRIGAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11000 PROSPERITY FARMS RD STE 302
PALM BEACH GARDENS FL
33410-3462
US

IV. Provider business mailing address

1945 BAYTHORNE RD
WEST PALM BEACH FL
33415-6307
US

V. Phone/Fax

Practice location:
  • Phone: 561-925-7831
  • Fax:
Mailing address:
  • Phone: 561-925-7831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP4219
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: