Healthcare Provider Details

I. General information

NPI: 1942326590
Provider Name (Legal Business Name): MARIA LUISA OQUENDO CLAUDIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 S OHIO AVE STE 2100
ATLANTIC CITY NJ
08401-6711
US

IV. Provider business mailing address

1023 MEDICAL CENTER PKWY SUITE 200
SELMA AL
36701-6780
US

V. Phone/Fax

Practice location:
  • Phone: 609-572-8800
  • Fax:
Mailing address:
  • Phone: 334-875-4184
  • Fax: 334-874-3511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD.25419
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25419
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA08500800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: