Healthcare Provider Details

I. General information

NPI: 1437125143
Provider Name (Legal Business Name): RUTH SOTO-MALAVE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 CALLE GEORGETTI
SAN JUAN PR
00925-3625
US

IV. Provider business mailing address

80 CALLE GEORGETTI
SAN JUAN PR
00925-3625
US

V. Phone/Fax

Practice location:
  • Phone: 787-753-9443
  • Fax: 787-753-2894
Mailing address:
  • Phone: 787-753-9443
  • Fax: 787-753-2894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME129071
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number8204
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number8204
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: