Provider Demographics
NPI:1205055357
Name:MALDONADO GALARZA, MARGARITA (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:MALDONADO GALARZA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3082 AVE EMILIO FAGOT
Mailing Address - Street 2:SANTA CLARA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4117
Mailing Address - Country:US
Mailing Address - Phone:939-640-9404
Mailing Address - Fax:
Practice Address - Street 1:450 CALLE FERROCARRIL STE 305
Practice Address - Street 2:SANTA MARIA MEDICAL BUILDING
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-4105
Practice Address - Country:US
Practice Address - Phone:787-293-7383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1861103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical