Doctor Name: | MISS YANNETTE GUZMAN MALDONADO |
NPI Number: | 1932291051 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 15742 |
Business Practice Address: | Carr 2 Km 49 5 Professional Hospital Manati, PR - 00674 |
Business Phone Number: | 7878840505 |
Business Fax Number: | 7878840510 |
Mailing Address: | Box 180, COROZAL |
State: | PR |
Postal Code: | 00783 |
Phone Number: | 7878704583 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |