| Rodolfo Maldonado Md Llc | |
|
86 New Brunswick Ave Perth Amboy NJ 08861-2242 | |
| (732) 826-2220 | |
| Not Available |
| Full Name | Rodolfo Maldonado Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 86 New Brunswick Ave, Perth Amboy, New Jersey |
| Authorized Official Name and Position | Rodolfo Maldonado (MANAGING DIRECTOR) |
| Authorized Official Contact | 7328262220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodolfo Maldonado Md Llc 86 New Brunswick Ave Perth Amboy NJ 08861-2232 Ph: (732) 826-2220 | Rodolfo Maldonado Md Llc 86 New Brunswick Ave Perth Amboy NJ 08861-2242 Ph: (732) 826-2220 |
| NPI Number | 1003178922 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 06/15/2012 |
| Medicare PECOS PAC ID | 2860648797 |
|---|---|
| Medicare Enrollment ID | O20120809000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003178922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07792000 (New Jersey) | Primary |
| Provider Name | Constante Gil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063479335 PECOS PAC ID: 4587638135 Enrollment ID: I20050210000187 |
| Provider Name | Rodolfo Maldonado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093823668 PECOS PAC ID: 6800813791 Enrollment ID: I20051114000504 |
| Provider Name | Julio C Baquerizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922386812 PECOS PAC ID: 8022255462 Enrollment ID: I20141113000114 |
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