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NPI Code Detail

MEDICARE: SOFIA MALDONADO

MEDICARE: SOFIA MALDONADO
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
1225100000XPhysical TherapistCP051795TCO
2225100000XPhysical Therapist1398778TX

General Provider Information

NPI Number : 1528865524
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIA MALDONADO
Provider Business Mailing Address
First Line : 221 BAYLOR AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-2098
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8500 W CRESTLINE AVE UNIT G5
Second Line :
City : LITTLETON
State : CO
Zip : 80123-2222
Country : US
Telephone Number : 910-285-1799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2025
Last Update Date : 03/02/2026

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Directions to “ SOFIA MALDONADO ” Practice Location

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