Doctor Name: | ALBERTO MALDONADO RIVERA |
NPI Number: | 1245462837 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 27412-R |
Business Practice Address: | 750 E Adams St, Jacobsen Hall 310 Colinas De Cupey Syracuse, NY - 132102306 |
Business Phone Number: | 3154648672 |
Business Fax Number: | |
Mailing Address: | 750 E Adams St, Jacobsen Hall 310, Colinas De Cupey SYRACUSE |
State: | NY |
Postal Code: | 132102306 |
Phone Number: | 3154648672 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2009 |
NPI Last Update Date: | 05/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 27412-R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |