MEDICARE: DR. RUTH SOTO-MALAVE MD

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	207R00000X	Internal Medicine Physician	8204	PR
2	207RI0200X	Infectious Disease Physician	8204	PR
3	207RI0200X	Infectious Disease Physician	ME129071	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1014	OTHER	PR	INTMEDCARD PROVIDER NO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	080031	OTHER	PR	PROVIDER NO CRUZ AZUL
4	6100016	OTHER	PR	HUMANA PROVIDER NO
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437125143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUTH SOTO-MALAVE MD

Provider Business Mailing Address
First Line	:	3601 FEDERAL HWY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-3795
Country	:	US
Telephone Number	:	305-576-6611
Fax Number	:	786-476-2845

Provider Business Practice Location Address
First Line	:	2901 CORAL HILLS DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4146
Country	:	US
Telephone Number	:	954-345-0404
Fax Number	:	954-688-3150

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	01/04/2019

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Directions to “ DR. RUTH SOTO-MALAVE MD” Practice Location

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