| Organization Name: | CARLOS MALDONADO, D.O., P.A. |
| NPI Number: | 1194058800 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLOS MALDONADO (OWNER/PRESIDENT) |
| Mailing Address: | 2933 Lazy Lake Dr Harlingen |
| State: | TX US |
| Postal Code: | 785508633 |
| Phone Number: | 9562760144 |
| Fax Number: | 8666894246 |
| NPI Enumeration Date: | 09/13/2009 |
| NPI Last Update Date: | 09/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | J7064 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |