Individual
MARIA DEL VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
431 AVE HOSTOS, SAN JUAN, PR 00918-3014
(787) 704-0705
Mailing address
431 AVE HOSTOS, SAN JUAN, PR 00918-3014
(787) 704-0705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
15005
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
05
—
1307576
—
MA
01
—
M18463
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/02/2016
Last updated
04/27/2021
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