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Martin Maldonado-Puebla

Internal Medicine, Allergy & Immunology in Miami, FL. Individual provider (NPI-1).

NPI number1669935706
StatusActive
Last updated in NPPESFeb 5, 2025

Details

NPI
1669935706
Entity type
Individual (NPI-1)
Name
Martin Maldonado-Puebla
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 6, 2019
Certification date
Feb 5, 2025
Last updated
Feb 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RA0201X Internal Medicine, Allergy & Immunology155636FLYes
208M00000X HospitalistME155636FL
207R00000X Internal Medicine155636FL

Practice location

1201 Nw 16th St
Miami, FL 33125-1624

Phone 305-575-7000

Mailing address

1201 Nw 16th St
Miami, FL 33125-1624

Other practice locations

1611 Nw 12th Ave
Miami, FL 33136-1096

Phone 305-585-1111

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