Provider Demographics
NPI:1134239007
Name:MALAVET, JULIA T (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:T
Last Name:MALAVET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CALLE 2
Mailing Address - Street 2:GARDEN HILLS ESTATES
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2907
Mailing Address - Country:US
Mailing Address - Phone:787-249-2241
Mailing Address - Fax:
Practice Address - Street 1:26 CALLE 2
Practice Address - Street 2:GARDEN HILLS ESTATES
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-2907
Practice Address - Country:US
Practice Address - Phone:787-249-2241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10199208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1431292OtherDRIVERS LICENSE