Maldonado, Diego A

Maldonado, Diego A is an sole proprietor health care provider with primary practice located at 1000 36Th St , Vero Beach FL 32960-4862. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Maldonado, Diego A can be contacted via phone (772) 794-5800.

Contact Information

Primary practice address
1000 36Th St Vero Beach FL 32960-4862
Phone: (772) 794-5800
Fax: (772) 794-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME111049 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME111049 Florida

Profile Details

NPI number 1568673630
LBN Legal business name Maldonado, Diego A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Apr 10th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568673630 NPPES
Florida MEDICAID 005525100
Florida Other 14KL2

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