Individual ProviderAndrea Ortiz MaldonadoStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressTtuhsc Department Of Internal Medicine, 3601 Street-Stop 6211, Lubbock, TX 79430(806) 743-2454PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Ortiz Maldonado 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 4 days ago.Profile DetailsProvider ID1699518522Provider TypeIndividualFull NameOrtiz Maldonado, AndreaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/18/2024Last Updated3/21/2025Contact InformationPractice LocationPractice AddressTtuhsc Department Of Internal Medicine, 3601 Street-Stop 6211, Lubbock, TX 79430Phone(806) 743-2454FaxUnlisted FaxMailing LocationMailing AddressTtuhsc Department Of Internal Medicine, 3601 Street-Stop 6211, Lubbock, TX 79430Phone(806) 743-2454FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer