Provider Demographics
NPI:1831217835
Name:MALDONADO CORTES, JOSE MIGUEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:MIGUEL
Last Name:MALDONADO CORTES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:S2 CALLE 3 NO 4
Mailing Address - Street 2:VILLAS DE PARANA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-0000
Mailing Address - Country:US
Mailing Address - Phone:787-720-4637
Mailing Address - Fax:787-720-4637
Practice Address - Street 1:CALLE MAGA FINAL TERRENOS HOSPITAL SIQUIATRIA
Practice Address - Street 2:PABELLON G CENTRO MEDICO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00928-0000
Practice Address - Country:US
Practice Address - Phone:787-754-4100
Practice Address - Fax:787-767-9243
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR4153208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice