Provider Demographics
NPI:1154860476
Name:ROSA MALAVE, ZULEYKA
Entity Type:Individual
Prefix:
First Name:ZULEYKA
Middle Name:
Last Name:ROSA MALAVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 CALLE 30
Mailing Address - Street 2:PARCELAS FALU
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3121
Mailing Address - Country:US
Mailing Address - Phone:787-405-0919
Mailing Address - Fax:787-723-6247
Practice Address - Street 1:268 CALLE 30
Practice Address - Street 2:PARCELAS FALU
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-405-0919
Practice Address - Fax:787-723-6247
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR70114163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse