Individual
DR. JOSE DOMINGO MALAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
# 471 FERROCARRIL STREET , STA. MARIA SHOPPING CENTER, 234, PONCE, PR 00731
(787) 651-0030
Mailing address
VALLE ALTO CALLE LLANURAS, 1792, PONCE, PR 00731
(787) 385-2162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
204859
PR
103TC0700X
Clinical Psychologist
Primary
3583
PR
Other
Enumeration date
05/10/2007
Last updated
03/18/2010
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