MEDICARE: DR. JULIA T MALAVET 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
1	208000000X	Pediatrics Physician	10199	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1431292	OTHER	PR	DRIVERS LICENSE

General Provider Information

NPI Number	:	1134239007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA T MALAVET M.D.

Provider Business Mailing Address
First Line	:	26 CALLE 2
Second Line	:	GARDEN HILLS ESTATES
City	:	GUAYNABO
State	:	PR
Zip	:	00966-2907
Country	:	US
Telephone Number	:	787-249-2241
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 CALLE 2
Second Line	:	GARDEN HILLS ESTATES
City	:	GUAYNABO
State	:	PR
Zip	:	00966-2907
Country	:	US
Telephone Number	:	787-249-2241
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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