Individual provider · Type 1 NPI

Mario Luis Olivencia Malave, MD

General Practice Physician · Mayaguez, PR

NPI number 1770837320 Active

Practice location

55 Calle De Diego E Ste 401
Mayaguez, PR 00680-5081

Call (787) 487-7866 Map

Mailing address

Cpr Profesional Building 65 De Diego E.suite Ste. 401
Mayaguez, PR 00680-8501

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X20164 (PR)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1770837320

Mario Luis Olivencia Malave, MD's National Provider Identifier is 1770837320, issued on Nov 5, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mayaguez, PR. The record was last updated on Jul 18, 2017.