Individual provider Active NPI

Manuel A. Malave, M.D.

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1275596181
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15765 Issued in PR
Practice address
35 Calle MJ Cabrero
San Sebastian, PR 00685-2274
Phone
(787) 548-4544
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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 15765 PR Primary

Addresses

Primary practice location

35 Calle MJ Cabrero
San Sebastian, PR 00685-2274

Mailing address

PO Box 6429
Marina Station
Mayaguez, PR 00681-6429
Phone (787) 548-4544

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
I20050615000076 PR Practitioner - General Practice 1153365762 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15765PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Hospice LLC CurrentSince Sep 9, 2024 Accepting new patients
Diabetic Solutions Corp Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Quality Care Hospice LLCJuana Diaz, PR, CCN 401569 Hospice Contracted Managing Employee Sep 9, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1275596181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6429",
            "address_2": "MARINA STATION",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006816429",
            "telephone_number": "787-548-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CALLE MJ CABRERO",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852274",
            "telephone_number": "787-548-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVE",
        "first_name": "MANUEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.