Provider Demographics
NPI:1871049536
Name:MALDONADO RIVERA, HIRAM (MD)
Entity type:Individual
Prefix:
First Name:HIRAM
Middle Name:
Last Name:MALDONADO RIVERA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8115 NW 53RD ST APT 406
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4779
Mailing Address - Country:US
Mailing Address - Phone:787-467-5944
Mailing Address - Fax:
Practice Address - Street 1:CALLE BETANCES #40
Practice Address - Street 2:CANTON MALL LOCAL B3 2ND FLOOR
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-780-0373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21222207RE0101X
FL34730207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty