| Malave Surgical Group,psc | |
|
Carretera Estatal #3 Km 78.4 Parcela 3 Bo. Rio Abajo Humacao PR 00791 | |
| (787) 600-4404 | |
| Not Available |
| Full Name | Malave Surgical Group,psc |
|---|---|
| Speciality | Internal Medicine |
| Location | Carretera Estatal #3 Km 78.4, Humacao, Puerto Rico |
| Authorized Official Name and Position | Victor Brian Malave (PRESIDENT) |
| Authorized Official Contact | 7876004404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malave Surgical Group,psc Mansiones De Los Artesanos #14 Las Piedras PR 00771 Ph: (787) 600-4404 | Malave Surgical Group,psc Carretera Estatal #3 Km 78.4 Parcela 3 Bo. Rio Abajo Humacao PR 00791 Ph: (787) 600-4404 |
| NPI Number | 1164846879 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 05/27/2014 |
| Medicare PECOS PAC ID | 9931322492 |
|---|---|
| Medicare Enrollment ID | O20140602001187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164846879 | NPI | - | NPPES |
| 0026258 | Other | PR | MEDICARE PTAN |
| EC729A | Other | PR | MEDICARE PTAN |
| Provider Name | Victor Malave |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548475791 PECOS PAC ID: 4284729419 Enrollment ID: I20071003000629 |
| Provider Name | Michelle Rivera-resto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982812376 PECOS PAC ID: 4587851639 Enrollment ID: I20101215000316 |
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