Healthcare Provider Details

I. General information

NPI: 1326992512
Provider Name (Legal Business Name): RESILIENT & SPECIALIZED DOCTORS NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 AVE JARDIN REAL LA FUENTE SHOPPING CENTER SUITE 4
TOA ALTA PR
00953
US

IV. Provider business mailing address

1415 CALLE ROMA
TOA ALTA PR
00953-3400
US

V. Phone/Fax

Practice location:
  • Phone: 787-998-8170
  • Fax:
Mailing address:
  • Phone: 787-998-8170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: SARITA G MALDONADO CRESPO
Title or Position: PRESIDENT
Credential:
Phone: 787-998-8170