Organization
CENTRO DE MEDICINA PEDIATRICA DEL NORTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE NELSON MALAVE M.D. (PRESIDENT)
(787) 203-5558
Entity
Organization
Contact information
Practice address
PMB 513 BOX 819, LARES, PR 00669
(787) 203-5558
(787) 897-2521
Mailing address
PMB 513 BOX 819, LARES, PR 00669
(787) 203-5558
(787) 897-2521
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
9721
PR
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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