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Organization
MALAVE SURGICAL GROUP,PSC
Active
Organization
MALAVE SURGICAL GROUP,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR BRIAN MALAVE MD (PRESIDENT)
(787) 600-4404
Entity
Organization
Contact information
Practice address
CARRETERA ESTATAL #3 KM 78.4, PARCELA 3 BO. RIO ABAJO, HUMACAO, PR 00791
(787) 600-4404
Mailing address
MANSIONES DE LOS ARTESANOS #14, LAS PIEDRAS, PR 00771
(787) 600-4404
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15768
PR
207RI0008X
Hepatology Physician
15768
PR
208600000X
Surgery Physician
16315
PR
Other
Enumeration date
02/17/2014
Last updated
05/27/2014
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