Individual
MR. JORGE LUIS MALAVE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
154 AVE PEDRO ALBIZU CAMPOS, AGUADILLA, PR 00603-5726
(787) 951-9258
Mailing address
198A AVE MONTEMAR, AGUADILLA, PR 00603-5563
(787) 951-9258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
729-416
PR
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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