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NPI Code Detail

MEDICARE: DR. MANUEL A. MALAVE M.D.

MEDICARE:  DR. MANUEL A. MALAVE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician15765PR

General Provider Information

NPI Number : 1275596181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANUEL A. MALAVE M.D.
Provider Business Mailing Address
First Line : PO BOX 6429
Second Line : MARINA STATION
City : MAYAGUEZ
State : PR
Zip : 00681-6429
Country : US
Telephone Number : 787-548-4544
Fax Number :
Provider Business Practice Location Address
First Line : 35 CALLE MJ CABRERO
Second Line :
City : SAN SEBASTIAN
State : PR
Zip : 00685-2274
Country : US
Telephone Number : 787-548-4544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 04/11/2014

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Directions to “ DR. MANUEL A. MALAVE M.D.” Practice Location

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