Provider Demographics
NPI:1114418563
Name:RODRIGUEZ-MALAVE, MARY JOAHN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:JOAHN
Last Name:RODRIGUEZ-MALAVE
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:29 CALLE BASILIO CATALA
Mailing Address - Street 2:COND. PRADOS DEL MONTE, APT. 608
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-0000
Mailing Address - Country:US
Mailing Address - Phone:787-313-4303
Mailing Address - Fax:787-873-4303
Practice Address - Street 1:VA CARIBBEAN HEALTHCARE SYSTEM
Practice Address - Street 2:10 CASIA ST
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-0000
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2021-10-08
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Provider Licenses
StateLicense IDTaxonomies
PR22234207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine