Individual provider Active NPI

Cristina Melisa Ramos Malave, MD

  • General Practice Physician
  • Aibonito, PR
National Provider Identifier
1003489774
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22431 Issued in PR
Practice address
A2 Calle Dr Troyer
Aibonito, PR 00705-3304
Phone
(787) 735-8001
Fax
(787) 954-8036
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22431 PR Primary

Addresses

Primary practice location

A2 Calle Dr Troyer
Aibonito, PR 00705-3304

Mailing address

PO Box 1609
Cidra, PR 00739-1609

Other practice location 1

30 Calle Padial Ste 240
Caguas, PR 00725-3841
Phone (787) 961-0846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008000221 PR Practitioner - General Practice 7618375494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince Sep 1, 2021 Accepting new patients
Mennonite General Hospital, Inc CurrentSince Sep 1, 2021 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1003489774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1609",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A2 CALLE DR TROYER",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053304",
            "telephone_number": "787-735-8001",
            "fax_number": "787-954-8036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Calle Padial Ste 240",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007253841",
            "country_code": "US",
            "telephone_number": "787-961-0846",
            "fax_number": "787-961-2482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS MALAVE",
        "first_name": "CRISTINA",
        "middle_name": "MELISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.