Organization
CENTRO PEDIATRICO DE HATILLO CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE N MALAVE M.D (PRESIDENT)
(787) 650-0333
Entity
Organization
Contact information
Practice address
CARR 493 KM 0.5 BO. CARRIZALES, LOCAL 126, HATILLO, PR 00659
(787) 650-0333
Mailing address
PO BOX 819, PMB 513, LARES, PR 00669
(787) 650-0333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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