Individual
DR. JOSE A TAVAREZ-VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
864 AVE SAN PATRICIO, LAS LOMAS, SAN JUAN, PR 00921-1308
(787) 792-9833
(787) 273-6970
Mailing address
PO BOX 360013, SAN JUAN, PR 00936-0013
(787) 792-3203
(787) 273-6970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5441
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TRIPLE-S
GENERAL PRACTICE
PR
Enumeration date
08/09/2006
Last updated
07/08/2007
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