# DR. LUIS R FERMIN VALDEZ,CRL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255758157
- **Authorized official:** DR. LUIS RAFAEL FERMIN VALDEZ MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 347-4755

## Contact information

- **Practice address:** CALLE MAIN AA-4, URB ALTURAS DE RIO GANDE, RIO GRANDE, PR 00745
- **Practice address phone:** (787) 500-7270
- **Mailing address:** PO BOX 43002, SUITE 151, RIO GRANDE, PR 00745-6601
- **Mailing address phone:** (787) 347-4755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 11603 | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2014
- **Last updated:** 03/28/2014