Provider Demographics
NPI:1497826994
Name:GIL DE RUBIO MALDONADO, MATIAS (MD)
Entity type:Individual
Prefix:DR
First Name:MATIAS
Middle Name:
Last Name:GIL DE RUBIO MALDONADO
Suffix:
Gender:M
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:COND MILLENNIUM APT 806
Mailing Address - Street 2:550 AVE DE LA CONSTITUCION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-2314
Mailing Address - Country:US
Mailing Address - Phone:787-410-6527
Mailing Address - Fax:787-653-1776
Practice Address - Street 1:COND TORRE AUXILIO MUTUO
Practice Address - Street 2:735 AVE PONCE DE LEON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5029
Practice Address - Country:US
Practice Address - Phone:787-765-8620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5769207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology