Provider Demographics
NPI:1841395019
Name:MALAVE, RONALD
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:MALAVE
Suffix:
Gender:M
Credentials:
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 960
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0960
Mailing Address - Country:US
Mailing Address - Phone:787-309-8020
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CENTER PLAZA
Practice Address - Street 2:SUITE 209
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-0068
Practice Address - Country:US
Practice Address - Phone:787-238-7173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR83932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry