| Juan A Maldonado Md Pa | |
|
2106 Hale Ave Harlingen TX 78550-8408 | |
| (956) 423-9111 | |
| (956) 423-9273 |
| Full Name | Juan A Maldonado Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2106 Hale Ave, Harlingen, Texas |
| Authorized Official Name and Position | Priscilla Maldonado (PRACTICE MANAGER) |
| Authorized Official Contact | 9564239111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan A Maldonado Md Pa 2106 Hale Ave Harlingen TX 78550-8408 Ph: (956) 423-9111 | Juan A Maldonado Md Pa 2106 Hale Ave Harlingen TX 78550-8408 Ph: (956) 423-9111 |
| NPI Number | 1902880487 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 06/26/2024 |
| Medicare PECOS PAC ID | 0547288144 |
|---|---|
| Medicare Enrollment ID | O20051102000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902880487 | NPI | - | NPPES |
| 0132PU | Other | TX | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K2744 (Texas) | Primary |
| Provider Name | Juan A Maldonado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114901626 PECOS PAC ID: 8426076027 Enrollment ID: I20051104000091 |
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