Individual ProviderCarolina Maldonado DiazStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressAve Americo Miranda, San Juan, PR 00935-0001(787) 777-3535(787) 646-1064PECOS EnrollmentBased on the most recent information from CMS, provider Carolina Maldonado Diaz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1598399479Provider TypeIndividualFull NameMaldonado Diaz, CarolinaGenderFemaleSole ProprietorNoEnumeration Date2/28/2020Last Updated2/28/2020Contact InformationPractice LocationPractice AddressAve Americo Miranda, San Juan, PR 00935-0001Phone(787) 777-3535FaxUnlisted FaxMailing LocationMailing Address158 Calle Perez, San Juan, PR 00911-2114Phone(787) 646-1064FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerPuerto Rico