Active NPI
Eneida Lissette Malave, RPH
- Pharmacist
- Manati, PR
National Provider Identifier
1689712648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3930
- Practice address
- 10 Calle Quinones
Manati, PR 00674-5013 - Phone
- (787) 854-2292
- Fax
- (787) 854-3503
- NPI assigned
- Feb 2, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3930 | PR | Primary |
Addresses
Primary practice location
10 Calle Quinones
Manati, PR 00674-5013
Mailing address
Tulane St. 409 Estancias de Tortuguero
Vega Baja, PR 00693
Phone (787) 807-3740
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3930 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689712648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TULANE ST. 409 ESTANCIAS DE TORTUGUERO",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-807-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE QUINONES",
"city": "MANATI",
"state": "PR",
"postal_code": "006745013",
"telephone_number": "787-854-2292",
"fax_number": "787-854-3503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAVE",
"first_name": "ENEIDA",
"middle_name": "LISSETTE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
- Gaspar G. Lugo, DMD
- Luis R Rosa Toledo Medicina de Familia CP
- Luz de Esperanza Home Care Inc
- Luz de Esperanza Home Care Inc
- Maes Development, Inc
- Rebeca Maldonado Bidot, MSW
- Linda Almarie Maldonado Pagan, SLP
- Carmen Lidia Maldonado Trinidad, PSY.D., MAED., MAR,
- Felix Maldonado Trinidad
- Mirna Maldonado Vega, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.