Santiago-Maldonado, Ida Mary

Santiago-Maldonado, Ida Mary is an individual health care provider with primary practice located at 2817 Reilly Road Mcxc-Cod Credentials Womack Army Medical Center, Fort Bragg NC 28310. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Santiago-Maldonado, Ida Mary can be contacted via phone (910) 907-8922.

Contact Information

Primary practice address
2817 Reilly Road Mcxc-Cod Credentials Womack Army Medical Center Fort Bragg NC 28310
Phone: (910) 907-8922
Fax: (910) 907-6069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101058066 Virginia
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X Virginia

Profile Details

NPI number 1114993896
LBN Legal business name Santiago-Maldonado, Ida Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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.

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