MEDICARE: DR. ROBERTO E. MAIZ MD

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
1	208600000X	Surgery Physician	12998	PR

General Provider Information

NPI Number	:	1437125713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO E. MAIZ MD

Provider Business Mailing Address
First Line	:	PO BOX 1585
Second Line	:
City	:	HORMIGUEROS
State	:	PR
Zip	:	00660-5585
Country	:	US
Telephone Number	:	787-892-3318
Fax Number	:	787-892-9290

Provider Business Practice Location Address
First Line	:	100 CALLE HERNAN ALVAREZ
Second Line	:	SUITE 102
City	:	SAN GERMAN
State	:	PR
Zip	:	00683-4173
Country	:	US
Telephone Number	:	787-892-3318
Fax Number	:	787-892-9290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	07/30/2025

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