Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 16670 | PR |
NPI | 1013088061 |
---|---|
Provider Name | Dr. Ramon Francisco Malave |
First Address | San Sebastian, PR 00685-1583 |
Second Address | San Sebastian, PR 00685-2212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 27/02/2018 |