Provider Demographics
NPI:1154520799
Name:ZALDIVAR, MARIA CRISELDA BORLONGAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA CRISELDA
Middle Name:BORLONGAN
Last Name:ZALDIVAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4423 NW 6TH PL
Mailing Address - Street 2:SUITE A
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6115
Mailing Address - Country:US
Mailing Address - Phone:352-377-5600
Mailing Address - Fax:352-377-0336
Practice Address - Street 1:1283 SW SR 47
Practice Address - Street 2:SUITE 102
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-4833
Practice Address - Country:US
Practice Address - Phone:877-377-5602
Practice Address - Fax:386-754-1741
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87258207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH92638Medicare UPIN