Organization Active NPI

Malave Surgical Group, PSC

  • Surgery Physician
  • Las Piedras, PR
National Provider Identifier
1871901728
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16315 Issued in PR
Legal business name
MALAVE SURGICAL GROUP, PSC
Practice address
Mansiones de Los Artesanos
14 Cerezo
Las Piedras, PR 00771
Phone
(787) 285-1026
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Victor Malave, MD
Title
President
Phone
(787) 285-1026

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 15768 PR
Hepatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0008X 15768 PR
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 16315 PR Primary

Addresses

Primary practice location

Mansiones de Los Artesanos
14 Cerezo
Las Piedras, PR 00771

Mailing address

Carr. Estatal #3 KM 78.4
Parcela 3 Bo. Rio Abajo
Humacao, PR 00791
Phone (787) 285-1026

National Provider Directory

National Provider Directory
Tax ID family
Malave Surgical Group PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1871901728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR. ESTATAL #3 KM 78.4",
            "address_2": "PARCELA 3 BO. RIO ABAJO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-285-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANSIONES DE LOS ARTESANOS",
            "address_2": "14 CEREZO",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-285-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAVE SURGICAL GROUP, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "MALAVE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-285-1026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "15768",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": "PR",
            "license": "15768",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PR",
            "license": "16315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.