Healthcare Provider Details

I. General information

NPI: 1649829664
Provider Name (Legal Business Name): VALERIE MALDONADO TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO MEDICO DE PR BO. MONACILLOS
SAN JUAN PR
00921
US

IV. Provider business mailing address

1404 CALLE PERSIA
TOA ALTA PR
00953-4948
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-0101
  • Fax:
Mailing address:
  • Phone: 787-690-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number22833
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: