Provider Demographics
NPI:1215252945
Name:MALAVE, MARIA MONSERRATE (COUNSELOR)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:MONSERRATE
Last Name:MALAVE
Suffix:
Gender:F
Credentials:COUNSELOR
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 1386
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1386
Mailing Address - Country:US
Mailing Address - Phone:787-678-3159
Mailing Address - Fax:
Practice Address - Street 1:ROAD 722 KM 1.4
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-1386
Practice Address - Country:US
Practice Address - Phone:787-678-3159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2078101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor