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NPI Code Detail

MEDICARE: DR. ENID MARIE MALDONADO PHARM.D.

MEDICARE:  DR. ENID MARIE MALDONADO  PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5104PR

General Provider Information

NPI Number : 1417161191
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ENID MARIE MALDONADO PHARM.D.
Provider Business Mailing Address
First Line : PO BOX 336810
Second Line :
City : PONCE
State : PR
Zip : 00733-6810
Country : US
Telephone Number : 787-843-1600
Fax Number : 787-651-0572
Provider Business Practice Location Address
First Line : HOSPITAL SAN LUCAS
Second Line :
City : PONCE
State : PR
Zip : 00733-6810
Country : US
Telephone Number : 787-843-1600
Fax Number : 787-651-0572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ENID MARIE MALDONADO PHARM.D.” Practice Location

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