Provider Demographics
NPI:1700130085
Name:ALKHALDI, MARTHA MALDONADO (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:MALDONADO
Last Name:ALKHALDI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:MARTHA
Other - Middle Name:
Other - Last Name:MALDONADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9181 SW 170 AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196
Mailing Address - Country:US
Mailing Address - Phone:305-281-4416
Mailing Address - Fax:
Practice Address - Street 1:6200 SW 73 ST
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:786-662-5465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9254390363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily