Provider Demographics
NPI:1629832001
Name:MARCUCCI MALDONADO, HECTOR ALFONSO (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:ALFONSO
Last Name:MARCUCCI MALDONADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 141
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-0141
Mailing Address - Country:US
Mailing Address - Phone:787-898-6422
Mailing Address - Fax:
Practice Address - Street 1:CARR 129 KM 14.9
Practice Address - Street 2:PAR MANUEL CANDELARIA DE BAYANEY
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-1868
Practice Address - Country:US
Practice Address - Phone:787-234-2057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR23636208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice