Provider Demographics
NPI:1417161159
Name:MACHADO, MARIA DEL MAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DEL MAR
Last Name:MACHADO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4633 AVE ISLA VERDE
Mailing Address - Street 2:COND. CASTILLO DEL MAR APT. #104
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-5300
Mailing Address - Country:US
Mailing Address - Phone:787-268-7168
Mailing Address - Fax:787-269-4225
Practice Address - Street 1:HERMANOS MELENDEZ HOSPITAL
Practice Address - Street 2:CARR. #2 KM 11.7
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-620-8181
Practice Address - Fax:787-269-4225
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR12027207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR87987OtherSSS