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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIGLORIA MALDONADO-PUEBLA MD
NPI 1174140941
Obstetrics & Gynecology - Gynecology in Tampa, FL

Active since June 28, 2020PECOS EnrolledAccepts Medicare Assignment
4503 N 22ND ST, TAMPA, FL 33610(813) 738-6684(813) 413-8549 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 3, 2026, Jul 2, 2024, Jun 28, 2020 (3 updates tracked since 2020).

About Marigloria Maldonado-puebla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIGLORIA MALDONADO-PUEBLA MD (NPI 1174140941) is an individual gynecology provider in Tampa, Florida, licensed in Florida (ME182132) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2020).

NPPES Registry Identity

NPI1174140941
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameMARIGLORIA MALDONADO-PUEBLACredential: MD
Location Address4503 N 22ND STTampa, FL 33610-6201
Mailing Address1101 Ludlow St Apt 614Philadelphia, PA 19107-4258 · (813) 731-1284
Phone(813) 738-6684
Fax(813) 413-8549
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2020
Enumeration DateJune 28, 2020
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1174140941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME182132
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 25MA12318000 (NJ), MT220713 (PA)
4503 N 22ND ST, Tampa, FL 33610
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1903 Sheppard RdVoorhees, NJ 08043-4695 · Phone (856) 772-2300
Location 23401 N Broad StPhiladelphia, PA 19140-5103 · Phone (215) 707-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marigloria Maldonado-puebla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012330293
PECOS Enrollment IDI20240903001331
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLA SMITH
Nurse Practitioner (Family)
4503 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 738-6684
SHELLY WELCH HOLMSTROM MD
Obstetrics & Gynecology
4503 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 738-6684
DEBBIE PATRICIA SPENCER MD
Obstetrics & Gynecology
4503 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 684-2229
CHANDNIBEN R PATEL
Nurse Practitioner
4503 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 738-6684
EXODUS WOMEN'S CENTER, INC.
Obstetrics & Gynecology
4503 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 684-2229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marigloria Maldonado-puebla's NPI number?

The NPI number for Marigloria Maldonado-puebla is 1174140941. It was assigned to this individual provider in the NPPES registry on June 28, 2020.

Where is Marigloria Maldonado-puebla located?

Marigloria Maldonado-puebla practices at 4503 N 22nd St, Tampa, FL 33610. The listed phone number is (813) 738-6684.

What is Marigloria Maldonado-puebla's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Marigloria Maldonado-puebla enrolled in Medicare?

Yes. Marigloria Maldonado-puebla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marigloria Maldonado-puebla was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.