Individual
IDALIA REYES VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
ROBERTO CLEMENTE HSING, NUM 51 VILLA CAROLINA, CAROLINA, PR 00987-7329
(787) 768-9400
Mailing address
CALLE 44 NUM 702, URB FAIR VIEW, SAN JUAN, PR 00926
(787) 761-3938
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000204
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000204
NUM LICENCIA TERAPISTA FISICO
PR
Enumeration date
07/18/2013
Last updated
07/18/2013
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