Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 5902 | PR |
Y | 2080P0203X | Pediatric Critical Care Doctor | 5902 | PR |
NPI | 1114986833 |
---|---|
Provider Name | Dr. Leila V Malave |
First Address | San Juan, PR 00922-1913 |
Second Address | San Juan, PR 00907-1511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 18/01/2019 |