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Martha Maldonado Alkhaldi

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as MARTHA ALKHALDI.

Based on the most recent information from CMS, provider Martha Maldonado Alkhaldi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1700130085
Provider Type
Individual
Full Name
Alkhaldi, Martha Maldonado
Title
Mrs.
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
11/7/2012
Last Updated
9/5/2023

Contact Information

Practice Location

6200 SW 73 St, South Miami, FL 33143

(786) 662-5465

Unlisted Fax

Mailing Location

9181 SW 170 Ave, Miami, FL 33196

(305) 281-4416

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9254390 Florida

Martha Maldonado Alkhaldi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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