Provider Demographics
NPI:1679065270
Name:MALDONADO MARRERO, ERIC JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:JOSEPH
Last Name:MALDONADO MARRERO
Suffix:
Gender:M
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:FLORIDA ATLANTIC UNIVERSITY VASCULAR SURGERY FELLOWSHIP
Mailing Address - Street 2:5352 LINTON BLVD
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484
Mailing Address - Country:US
Mailing Address - Phone:561-637-5172
Mailing Address - Fax:
Practice Address - Street 1:DELRAY MEDICAL CENTER - FAIR OAKS PAVILION #258
Practice Address - Street 2:5352 LINTON BLVD
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484
Practice Address - Country:US
Practice Address - Phone:561-637-5172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program