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Individual

DR. MICHAEL FORTE-MALAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
410 AVE HOSTOS, MAYAGUEZ MEDICAL CENTER N115, MAYAGUEZ, PR 00682-1560
(787) 831-7437
Mailing address
410 AVE HOSTOS, MAYAGUEZ MEDICAL CENTER N115, MAYAGUEZ, PR 00682-1560
(787) 831-7437

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0069
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4-8078
MEDICARE ID
PR
Enumeration date
02/02/2007
Last updated
02/23/2015
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