Individual
MR. JORGE MALAVE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
AVENIDA 65 INFANTERIA K 3 4, BARRIO SABANA LLANA, SAN JUAN, PR 00924
(787) 767-7676
(787) 764-9904
Mailing address
RR #7 BOX 6932, SAN JUAN, PR 00926
(787) 767-7676
(797) 764-9904
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
016452
PR
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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