Individual provider Active NPI

Marigloria Maldonado-Puebla, MD

  • Gynecology Physician
  • Tampa, FL
National Provider Identifier
1174140941
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME182132 Issued in FL
Practice address
4503 N 22ND St
Tampa, FL 33610-6201
Phone
(813) 738-6684
Fax
(813) 413-8549
NPI assigned
Jun 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA12318000 NJ
Obstetrics & Gynecology Physician 207V00000X MT220713 PA
Gynecology Physician 207VG0400X ME182132 FL Primary

Addresses

Primary practice location

4503 N 22ND St
Tampa, FL 33610-6201

Mailing address

1101 Ludlow St Apt 614
Philadelphia, PA 19107-4258
Phone (813) 731-1284

Other practice location 1

903 Sheppard Rd
Voorhees, NJ 08043-4695
Phone (856) 772-2300

Other practice location 2

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marigloria.maldonado-puebla@tuhs.temple.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903001331 NJ Practitioner - Obstetrics/Gynecology 7012330293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

903 Sheppard Rd
Voorhees, NJ 08043-4695
Phone (856) 772-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Aug 1, 2024 Accepting new patients
Advocare , LLC CurrentSince Aug 1, 2024 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

903 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 772-2300

Interoperability endpoints

  • Direct secure messaging: marigloria.maldonadopuebla@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1174140941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LUDLOW ST APT 614",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074258",
            "telephone_number": "813-731-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106201",
            "telephone_number": "813-738-6684",
            "fax_number": "813-413-8549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Sheppard Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434695",
            "country_code": "US",
            "telephone_number": "856-772-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "215-707-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO-PUEBLA",
        "first_name": "MARIGLORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA12318000",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT220713",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME182132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marigloria.maldonado-puebla@tuhs.temple.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3401 N Broad St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191405103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.