| Doctor Name: | JEANN MARIE MALDONADO |
| NPI Number: | 1194184937 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 14017-I |
| Business Practice Address: | Calle Hernandez Carrion Carr #2 Urb Atenas Manati, PR - 006741142 |
| Business Phone Number: | 7876213700 |
| Business Fax Number: | |
| Mailing Address: | Calle Hernandez Carrion Carr #2, Urb Atenas MANATI |
| State: | PR |
| Postal Code: | 006741142 |
| Phone Number: | 7879437731 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2016 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14017-I |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |