Provider Demographics
NPI:1518162890
Name:RODRIGUEZ-MALDONADO, KAREN MARIA (MD)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MARIA
Last Name:RODRIGUEZ-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 625
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0625
Mailing Address - Country:US
Mailing Address - Phone:787-833-3100
Mailing Address - Fax:787-833-5980
Practice Address - Street 1:CALLE DE DIEGO E # 55
Practice Address - Street 2:EDIFICIO CPR SUITE 303-304
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4866
Practice Address - Country:US
Practice Address - Phone:787-833-6100
Practice Address - Fax:787-833-5980
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16759207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease