Provider Demographics
NPI:1619935392
Name:MARTINEZ-MALDONADO, ROBERTO R (MD FACOG JD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:R
Last Name:MARTINEZ-MALDONADO
Suffix:
Gender:M
Credentials:MD FACOG JD
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 9492
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960
Mailing Address - Country:US
Mailing Address - Phone:787-785-2493
Mailing Address - Fax:787-798-5507
Practice Address - Street 1:DEGETAU #41
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-785-2493
Practice Address - Fax:787-798-5507
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7581207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology