Provider Demographics
NPI:1003489774
Name:RAMOS MALAVE, CRISTINA MELISA (MD)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:MELISA
Last Name:RAMOS MALAVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1609
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-1609
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:A2 CALLE DR TROYER
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3304
Practice Address - Country:US
Practice Address - Phone:787-735-8001
Practice Address - Fax:787-954-8036
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22431208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice