Maldonado, Roberto L
Maldonado, Roberto L is an sole proprietor health care provider with primary practice located at 1901 Sw 172Nd Ave , Miramar FL 33029-5592. He recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as his primary health care specialty. Maldonado, Roberto L can be contacted via phone (954) 538-4864.Contact Information
Primary practice address
1901 Sw 172Nd Ave
Miramar FL 33029-5592
Phone: (954) 538-4864
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | ME87600 | Florida |
Profile Details
| NPI number | 1447268776 |
|---|---|
| LBN Legal business name | Maldonado, Roberto L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Apr 8th, 2022 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447268776 | NPPES |
| Florida | MEDICAID | 267068200 |
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