Provider Demographics
NPI:1710368485
Name:CLAUDIO MALAVE, JENNIFER ENID (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ENID
Last Name:CLAUDIO MALAVE
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:BOULEVARD DR GUILLERMO ARBONA CENTRO MEDICO
Mailing Address - Street 2:SAN JUAN
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00935-5067
Mailing Address - Country:US
Mailing Address - Phone:787-753-6390
Mailing Address - Fax:
Practice Address - Street 1:BOULEVARD DR GUILLERMO ARBONA CENTRO MEDICO
Practice Address - Street 2:SAN JUAN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-753-6390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR19954208000000X
390200000X
PR940832080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR19954OtherPUERTO RICO BOARD OF LICENSING AND MEDICAL DISCIPLINES