Provider Demographics
NPI:1629461330
Name:MALAVE RAMOS, PAOLA MYLIAM (RN)
Entity Type:Individual
Prefix:MISS
First Name:PAOLA
Middle Name:MYLIAM
Last Name:MALAVE RAMOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:G-9 CALLE 3
Mailing Address - Street 2:URB RES BARINAS
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-313-2477
Mailing Address - Fax:
Practice Address - Street 1:G-9 CALLE 3
Practice Address - Street 2:URB RES BARINAS
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-313-2477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-05
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR75746163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse