Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 35.129389 | OH |
Y | 213ES0000X | Sports Medicine | 35.129389 | OH |
NPI | 1245462837 |
---|---|
Provider Name | Alberto Maldonado |
First Address | Cincinnati, OH 45247-7961 |
Second Address | Cincinnati, OH 45241-2374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2009 |
Last Update Date | 28/09/2021 |