Maldonado-Medina, Anabelle
Maldonado-Medina, Anabelle is an sole proprietor health care provider with primary practice located at 1190 Nw 95 Street Suite 204, Miami FL 33150-2064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Maldonado-Medina, Anabelle can be contacted via phone (305) 836-5053.Contact Information
Primary practice address
1190 Nw 95 Street Suite 204
Miami FL 33150-2064
Phone: (305) 836-5053
Fax: (305) 836-9727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME 0049821 | Florida |
Profile Details
| NPI number | 1609876804 |
|---|---|
| LBN Legal business name | Maldonado-Medina, Anabelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Apr 16th, 2013 - about 13 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 | 1609876804 | NPPES |
| Florida | Other | 12606 | VISTA |
| Florida | Other | 4076902 | VISTA |
| Florida | MEDICAID | 650123120 | VISTA |
| Florida | Other | 003580 | VISTA |
| Florida | Other | 014296 | VISTA |
| Florida | Other | 04348 | VISTA |
| Florida | Other | N1997 | VISTA |
| Florida | Other | 130009510 | VISTA |
| Florida | Other | 228896 | VISTA |
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