Dennys E Maldonado in Janesville - Sports Medicine
Dennys E Maldonado - NPI 1700055621
Dennys E Maldonado is a Sports Medicine in Janesville, Wisconsin. Dennys E Maldonado practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Dennys E Maldonado is 1700055621. The last update date is 2011-10-05.
Dennys E Maldonado's current location address is 3524 E Milwaukee St, Janesville, Wisconsin. You can contact this provider via phone number 6087567100. The mailing address for Dennys E Maldonado is 3524 E Milwaukee St, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennys E Maldonado |
|---|---|
| Address | 3524 E Milwaukee St, Janesville, Wisconsin |
| Phone Number | 6087567100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700055621 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2011-10-05 |
Provider Mailing Address Detail
| Address | 3524 E Milwaukee St |
|---|---|
| City | Janesville |
| State | Wisconsin (WI) |
| Post Code | 535461626 |
| Phone Number | 6087567100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 51273 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34988900 | WI | -- | |
| P00671703 | WI | RR MEDICARE |
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What is the unique identifier code issued to Dennys E Maldonado by the Centers for Medicare & Medicaid Services?
The Dennys E Maldonado has been assigned the NPI (National Provider Identifier) 1700055621. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dennys E Maldonado is geographically located?
The Dennys E Maldonado is physically situated at the following location: 3524 E Milwaukee St, Janesville, WI, 535461626.
What is Dennys E Maldonado's area of expertise and its corresponding taxonomy classification?
The Dennys E Maldonado's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their areas of practice.
On what date did the Dennys E Maldonado receive the assignment of its 1700055621 from the Centers for Medicare & Medicaid Services?
The Dennys E Maldonado was issued its 1700055621 by the Centers for Medicare & Medicaid Services on 2008-02-25.
As of what date were the details related to Dennys E Maldonado most recently updated or revised?
The information pertaining to Dennys E Maldonado, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-05.