Individual
DR. WILLIE NELSON MALAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARRETERA 129 KM 21.8, INT. 454 BO. CALLEJONES, LARES, PR 00669-0819
(787) 897-5555
(787) 897-2521
Mailing address
CARR 129 KM 21.8, LARES, PUERTO RICO 00669
(787) 897-5555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9721
PR
Other
Enumeration date
05/04/2006
Last updated
10/31/2013
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