Provider Demographics
NPI:1417512716
Name:ROSADO MALDONADO, ARIANA MARIA (MD)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:MARIA
Last Name:ROSADO MALDONADO
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 1:3701 PICKWICK DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-1552
Mailing Address - Country:US
Mailing Address - Phone:787-502-1934
Mailing Address - Fax:
Practice Address - Street 1:2915 LAKEVIEW DR STE 1001
Practice Address - Street 2:
Practice Address - City:FERN PARK
Practice Address - State:FL
Practice Address - Zip Code:32730-2050
Practice Address - Country:US
Practice Address - Phone:407-900-0613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME168802207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine