Individual provider Active NPI

Liza Mariel Paulo Malave, MD

  • Hematology & Oncology Physician
  • Aguadilla, PR
National Provider Identifier
1205039047
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
16861 Issued in PR
Practice address
150 Ave Pedro Albizu Campos
Reparto Lopez
Aguadilla, PR 00603-5714
Phone
(787) 671-6167
Fax
(787) 765-5147
NPI assigned
Jun 8, 2007
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 16861 PR Primary

Addresses

Primary practice location

150 Ave Pedro Albizu Campos
Reparto Lopez
Aguadilla, PR 00603-5714

Mailing address

Gallery Plaza 103
Ave Jose de Diego Apt 2107
San Juan, PR 00911-3523
Phone (787) 891-0027

Other identifiers 1

IdentifierTypeStateIssuer
037808000MedicaidPR

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
I20110331000015 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7719160605 Reassigns benefits to 1 organization
Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Pedro Albizu Campos
Num 150 Reparto Lopez
Aguadilla, PR 00603-5726
Phone (787) 891-0027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Oncology Group Hematology & Oncology CurrentSince Jul 21, 2019 Accepting new patients
Oncology & Hematology Advance Institute, P.S.C Hematology & Oncology PastSince Apr 28, 2024 Accepting new patients

Locations

150 Ave Pedro Albizu Campos
Aguadilla, PR 00603
Phone (787) 529-1699

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1205039047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GALLERY PLAZA 103",
            "address_2": "AVE JOSE DE DIEGO APT 2107",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009113523",
            "telephone_number": "787-891-0027",
            "fax_number": "787-997-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE PEDRO ALBIZU CAMPOS",
            "address_2": "REPARTO LOPEZ",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035714",
            "telephone_number": "787-671-6167",
            "fax_number": "787-765-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULO MALAVE",
        "first_name": "LIZA",
        "middle_name": "MARIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "16861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037808000",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.