Organization
CLINICA DEL DR MALAVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE D MALAVE ORENGO PH.D (PRESIDENT)
(787) 385-2162
Entity
Organization
Contact information
Practice address
625 MARGINAL LOCAL 203, URB LA RAMBLA, PONCE, PR 00730
(787) 385-2162
Mailing address
PO BOX 801504, COTO LAUREL, PR 00780-1504
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3583
PR
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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