# RAUL VALDES CANOVA SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043903370
- **Gender:** Man
- **Credential:** SURGICAL ASSISTANT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 025220 | PR | Yes |
| 208D00000X | General Practice Physician | 17525-I | PR | Yes |
| 246ZC0007X | Surgical Assistant | 21-344 | WI | — |

## Other

- **Enumeration date:** 06/01/2023
- **Last updated:** 08/14/2026