Provider Demographics
NPI:1699736819
Name:RIVERA-MALAVE, RUTH (MD)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:RIVERA-MALAVE
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:PO BOX 13958
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-3958
Mailing Address - Country:US
Mailing Address - Phone:787-854-5266
Mailing Address - Fax:787-884-0663
Practice Address - Street 1:B36 CALLE MARGINAL VELEZ
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5435
Practice Address - Country:US
Practice Address - Phone:787-854-5266
Practice Address - Fax:787-884-0663
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR81402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry