Organization
VALLE MEDICAL OFFICE PSC
Active
Other names
PROFFESIONAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DARITZA SANCHEZ SANTANA (FACTURADORA)
(787) 314-3431
Entity
Organization
Contact information
Practice address
136 BDA CABAN, AGUADILLA, PR 00603-9465
(787) 997-1111
Mailing address
136 BDA CABAN, AGUADILLA, PR 00603-9465
(787) 997-1111
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16009
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23314
MEDICARE PTAN
PR
Enumeration date
04/24/2007
Last updated
08/25/2015
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