Individual
WILFREDO MALAVE MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
392 CALLE RAMON EMETERIO BETANCES, MAYAGUEZ, PR 00681
(787) 805-2900
Mailing address
392 CALLE RAMON EMETERIO BETANCES, MAYAGUEZ, PR 00681
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
875-P.A.
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/10/2020
Last updated
01/28/2025
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