Provider Demographics
NPI:1275694713
Name:MALDONADO ESQUILIN, LYDIA ESTHER (MD)
Entity Type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:ESTHER
Last Name:MALDONADO ESQUILIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:E26 AVE RICKY SEDA
Mailing Address - Street 2:URB IDA MARIS GARDENS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-5726
Mailing Address - Country:US
Mailing Address - Phone:787-764-8018
Mailing Address - Fax:787-763-5801
Practice Address - Street 1:WILLIAM JONES #1107 AHOS
Practice Address - Street 2:
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00925
Practice Address - Country:US
Practice Address - Phone:787-764-8018
Practice Address - Fax:787-763-5801
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR10031208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
F25932Medicare UPIN