MARIO LUIS OLIVENCIA MALAVE

MAYAGUEZ, PR
NPI1770837320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: PR  20164)
Enumeration Date2012-11-05
Last Update Date2017-07-18
Business Address
DR. MARIO LUIS OLIVENCIA MALAVE M.D
55 CALLE DE DIEGO E STE 401
MAYAGUEZ, PR 00680-5081
Phone number: 787-487-7866
Mailing Address
DR. MARIO LUIS OLIVENCIA MALAVE M.D
CPR PROFESIONAL BUILDING 65 DE DIEGO E.SUITE STE. 401
MAYAGUEZ, PR 00680-8501
Phone number: 787-805-1032
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