Healthcare Provider Details

I. General information

NPI: 1649174335
Provider Name (Legal Business Name): DRA STEPHANIE MALDONADO OBGYN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1399 CALLE FERIA
SAN JUAN PR
00909-2519
US

IV. Provider business mailing address

URB. VILLA CARIBE 141 VIA CANAVERAL
CAGUAS PR
00727-3039
US

V. Phone/Fax

Practice location:
  • Phone: 787-520-9699
  • Fax:
Mailing address:
  • Phone: 787-520-9699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. STEPHANIE MALDONADO TORRES
Title or Position: OWNER
Credential: MD
Phone: 787-520-9699