Individual
DR. BRAULIO MALAVE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1302 AV JUAN PONCE DE LEON, SAN JUAN, PR 00907
(787) 493-5088
Mailing address
PO BOX 262252, SAN JUAN, PR 00926-2654
(939) 206-1416
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001445-PA
PR
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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