Provider Demographics
NPI:1801414859
Name:SAADE MALDONADO, MARIEL M (MD)
Entity type:Individual
Prefix:DR
First Name:MARIEL
Middle Name:M
Last Name:SAADE 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 1:1959 CALLE LOIZA LBBY 6414
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00911-1865
Mailing Address - Country:US
Mailing Address - Phone:787-365-3537
Mailing Address - Fax:786-590-1651
Practice Address - Street 1:1959 CALLE LOIZA LBBY 6414
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-1865
Practice Address - Country:US
Practice Address - Phone:787-365-3537
Practice Address - Fax:786-590-1651
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-07
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22499208D00000X, 202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice