Organization
MALAVE SURGICAL GROUP, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MALAVE MD (PRESIDENT)
(787) 285-1026
Entity
Organization
Contact information
Practice address
MANSIONES DE LOS ARTESANOS, 14 CEREZO, LAS PIEDRAS, PR 00771
(787) 285-1026
Mailing address
CARR. ESTATAL #3 KM 78.4, PARCELA 3 BO. RIO ABAJO, HUMACAO, PR 00791
(787) 285-1026
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
15768
PR
207RI0008X
Hepatology Physician
15768
PR
208600000X
Surgery Physician
Primary
16315
PR
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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