Provider Demographics
NPI:1497728885
Name:MALAGA, NICOLAS ARGELIO (MD)
Entity Type:Individual
Prefix:DR
First Name:NICOLAS
Middle Name:ARGELIO
Last Name:MALAGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NICHOLAS
Other - Middle Name:ARGELIO
Other - Last Name:MALAGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2012
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-2012
Mailing Address - Country:US
Mailing Address - Phone:787-735-8781
Mailing Address - Fax:787-735-7390
Practice Address - Street 1:MENNONITE GENERAL HOSPITAL
Practice Address - Street 2:OFFICE 305
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-735-8781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3844207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E11483Medicare UPIN
94701Medicare ID - Type Unspecified