Provider Demographics
NPI:1760980650
Name:MALDONADO RIOS, DALYMAR
Entity Type:Individual
Prefix:
First Name:DALYMAR
Middle Name:
Last Name:MALDONADO RIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8571 SW 112TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4322
Mailing Address - Country:US
Mailing Address - Phone:805-612-0558
Mailing Address - Fax:
Practice Address - Street 1:8571 SW 112TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-4322
Practice Address - Country:US
Practice Address - Phone:786-815-6382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant