Active NPI
Mary Joahn Rodriguez-Malave, MD, MPH
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1114418563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 22234
- Practice address
- VA Caribbean Healthcare System
10 Casia St
San Juan, PR 00921-0000 - Phone
- (787) 641-7582
- NPI assigned
- May 22, 2018
- Last updated
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22234 | PR | Primary |
Addresses
Primary practice location
VA Caribbean Healthcare System
10 Casia St
San Juan, PR 00921-0000
Mailing address
29 Calle Basilio Catala
Cond. Prados del Monte, Apt. 608
Guaynabo, PR 00971-0000
Phone (787) 313-4303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22234 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1114418563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CALLE BASILIO CATALA",
"address_2": "COND. PRADOS DEL MONTE, APT. 608",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009710000",
"telephone_number": "787-313-4303",
"fax_number": "787-873-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA CARIBBEAN HEALTHCARE SYSTEM",
"address_2": "10 CASIA ST",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009210000",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-MALAVE",
"first_name": "MARY",
"middle_name": "JOAHN",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2021-10-08",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "22234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Alejandro Rodriguez-Lafontaine, MSPT
- Maritza Rodriguez-Lazu, PSY.D., CGG
- Reynaldo Rodriguez-Llauger, M.D.
- Ibis Noelia Rodriguez-Longo, PHARMD
- Joshua Louis Rodriguez-Lopez, M.D.
- Karen A Rodriguez-Maldonado, PHARM D.
- Maribel Rodriguez-Martinez, M.D.
- Yaraliz Rodriguez-Martinez, R.PH.
- Jose M. Rodriguez-Medina, MD, PHD
- Rafael Rodriguez-Mercado, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.