Provider Demographics
NPI:1407878705
Name:FRYE-MALDONADO, AISLINN CORABELLE (MD)
Entity Type:Individual
Prefix:
First Name:AISLINN
Middle Name:CORABELLE
Last Name:FRYE-MALDONADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9570
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-9570
Mailing Address - Country:US
Mailing Address - Phone:787-704-2801
Mailing Address - Fax:
Practice Address - Street 1:30 CALLE PADIAL
Practice Address - Street 2:GATSBY PLAZA SUITE 314
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3597
Practice Address - Country:US
Practice Address - Phone:787-746-2207
Practice Address - Fax:787-746-2207
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR127562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry