Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 6846 | PR |
NPI | 1336222819 |
---|---|
Provider Name | Dr. Hiram Malaret |
First Address | San Juan, PR 00936-7148 |
Second Address | San Juan, PR 00917-5022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 30/09/2021 |