Angel B, Malave-Gomez, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4194 Issued in PR

Practice address

2 Calle Progreso
Suite 202
Aguadilla, PR 00603-5000

Phone

(787) 891-5229

NPI assigned

Aug 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Urology

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Centro de Litotripcia del Oeste Inc.

  • Lithotripsy Clinic/Center
  • Mayaguez, PR
  • NPI 1528116605
  NPD (past)

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

{
    "created_epoch": "1125187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1922091644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810860",
            "telephone_number": "787-891-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE PROGRESO",
            "address_2": "SUITE 202",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035000",
            "telephone_number": "787-891-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVE-GOMEZ",
        "first_name": "ANGEL",
        "middle_name": "B,",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-28",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "4194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mag Medical Equipment & Supplies
• Alfred Mair Sr., MD
• Zulma E. Maisonave, PSY.D.
• Pedro J Maisonet Rivera, RPH
• Jorge Luis Malave Perez, OD
• Katherine Malavenda, LPC, M.ED.
• Maleza Express Pharmacy
• Melixa Enith Mangome Senati, DPT
• Lilly Bell Marchena, PHARM D
• Marilia Pagan Santiago

• Urology Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Urology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.