| Clinica Del Dr Malave | |
|
625 Marginal Local 203 Urb La Rambla Ponce PR 00730 | |
| (787) 385-2162 | |
| Not Available |
| Full Name | Clinica Del Dr Malave |
|---|---|
| Speciality | Psychologist |
| Location | 625 Marginal Local 203, Ponce, Puerto Rico |
| Authorized Official Name and Position | Jose D Malave Orengo (PRESIDENT) |
| Authorized Official Contact | 7873852162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Del Dr Malave Po Box 801504 Coto Laurel PR 00780-1504 Ph: () - | Clinica Del Dr Malave 625 Marginal Local 203 Urb La Rambla Ponce PR 00730 Ph: (787) 385-2162 |
| NPI Number | 1184990251 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 03/22/2012 |
| Medicare PECOS PAC ID | 5991928509 |
|---|---|
| Medicare Enrollment ID | O20140529002282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184990251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3583 (Puerto Rico) | Primary |
| Provider Name | Jose D Malave |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336353960 PECOS PAC ID: 1355564865 Enrollment ID: I20140529002333 |
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