Individual
MARISOL MALAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
CALLE SAN JORGE #252 SAN JORGE MEDIICAL OFFICE, SUITE 406, SAN JUAN, PR 00912
(787) 726-0210
(787) 728-5136
Mailing address
1 PARQ DEL SOL APT 329, BAYAMON, PR 00959-4304
(787) 726-0210
(787) 728-5136
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13,673
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8-9351
SSS
PR
Enumeration date
08/20/2006
Last updated
07/08/2007
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