| Doctor Name: | MR. RODOLFO MALDONADO |
| NPI Number: | 1093823668 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA07792000 |
| Business Practice Address: | 86 New Brunswick Ave Hopelawn, NJ - 088612242 |
| Business Phone Number: | 7328261609 |
| Business Fax Number: | 7328260075 |
| Mailing Address: | 86 New Brunswick Ave, HOPELAWN |
| State: | NJ |
| Postal Code: | 088612242 |
| Phone Number: | 7328261609 |
| Fax Number: | 7328260075 |
| NPI Enumeration Date: | 08/25/2006 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 305S00000X |
| License Number: | 25MA07792000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Point of Service |
| Taxonomy Specialization: | |
| Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |