Organization
DR. MARCO A. DEL VALLE, OFICINA DENTAL CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO ANTONIO DEL VALLE D.D.S (GENERAL DENTIS)
(787) 868-7770
Entity
Organization
Contact information
Practice address
51 CALLE ESTACION, AGUADA, PR 00602-3247
(787) 868-7770
Mailing address
PO BOX 835, AGUADA, PR 00602-0835
(787) 868-7770
(787) 868-7770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1828
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2073
PUERTO RICO DEPARTMENT OF STATE
PR
Enumeration date
03/17/2015
Last updated
03/17/2015
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