| Doctor Name: | DR. FELIX MALDONADO TRINIDAD |
| NPI Number: | 1770688541 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 8431 |
| Business Practice Address: | 2da Ave 5 Los Rosales Manati Manati, PR - 00674 |
| Business Phone Number: | 7878624124 |
| Business Fax Number: | 7878623532 |
| Mailing Address: | 2da Ave Los Rosales, MANATI |
| State: | PR |
| Postal Code: | 00674 |
| Phone Number: | 7878624124 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 01/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 8431 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |