Individual
ALFRED VALDIVIESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1396 CALLE SAN RAFAEL STE 15, SAN JUAN, PR 00909-2525
(787) 405-4404
(939) 715-1061
Mailing address
1341 CALLE ALDEA, APT TH5, SAN JUAN, PR 00907-2321
(787) 590-8584
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19246
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037759400
—
PR
01
—
DM19205-4
STATE
PR
01
—
MD995
MEDICARE
PR
Enumeration date
05/29/2007
Last updated
03/07/2023
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