| Doctor Name: | DR. ANTONIO MAISONET-RODRIGUEZ |
| NPI Number: | 1124019666 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 9352 |
| Business Practice Address: | Atenas F61 Ext Forest Hills Bayamon, PR - 009595605 |
| Business Phone Number: | 7877980256 |
| Business Fax Number: | 7877980259 |
| Mailing Address: | Pmb 135, 53 Ave Esmeralda GUAYNABO |
| State: | PR |
| Postal Code: | 009694429 |
| Phone Number: | 7877980256 |
| Fax Number: | 7877980259 |
| NPI Enumeration Date: | 11/03/2005 |
| NPI Last Update Date: | 09/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 9352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |