Individual
DR. RUTH SOTO-MALAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2901 CORAL HILLS DR, CORAL SPRINGS, FL 33065-4146
(954) 345-0404
(954) 688-3150
Mailing address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
(786) 476-2845
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8204
PR
207RI0200X
Infectious Disease Physician
8204
PR
207RI0200X
Infectious Disease Physician
Primary
ME129071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024235800
—
FL
01
—
080031
PROVIDER NO CRUZ AZUL
PR
01
—
1014
INTMEDCARD PROVIDER NO
PR
01
—
6100016
HUMANA PROVIDER NO
PR
Enumeration date
02/23/2006
Last updated
01/04/2019
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