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General NPI Number Information
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NPI Number | 1376321158
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Entity Type | Organization
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Legal Business Name | JEFFREY MALDONADO MD LLC
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Dates
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Enumeration Date | 09/21/2023
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 11760 SW 40TH ST STE 411
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City | MIAMI
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State | FL
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Zip | 33175-3595
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Country | US
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Telephone | 305-967-8435
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Fax | 305-967-8432
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Provider Business Mailing Address
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Address Line | PO BOX 524102
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City | MIAMI
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State | FL
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Zip | 33152-4102
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Country | US
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Telephone | 305-967-8435
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY DE JESUS MALDONADO PENA
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Credential | MD
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Telephone | 787-904-7292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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