Provider Demographics
NPI:1417576224
Name:MALDONADO ALBA, YOLANDA S (MD)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:S
Last Name:MALDONADO ALBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1730 SW MILITARY DR STE 204
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1400
Mailing Address - Country:US
Mailing Address - Phone:726-223-3154
Mailing Address - Fax:726-223-3154
Practice Address - Street 1:1730 SW MILITARY DR STE 204
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1400
Practice Address - Country:US
Practice Address - Phone:726-223-3154
Practice Address - Fax:726-223-3154
Is Sole Proprietor?:No
Enumeration Date:2020-04-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXU2558207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine