Provider Demographics
NPI:1912088451
Name:MALDONADO, KARLA MICHELLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:MICHELLE
Last Name:MALDONADO
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Gender:F
Credentials:DMD
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Mailing Address - Street 1:#1 AVE. PALMA REAL APT. 1411
Mailing Address - Street 2:MURANO LUXURY APARTMENTS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-946-4953
Mailing Address - Fax:787-783-7320
Practice Address - Street 1:101 AVE SAN PATRICIO STE 830
Practice Address - Street 2:MARAMAR PLAZA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-2679
Practice Address - Country:US
Practice Address - Phone:787-918-2737
Practice Address - Fax:787-783-7320
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2014-03-26
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Provider Licenses
StateLicense IDTaxonomies
PR26971223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry