Organization
IMCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO DEL VALLE MD (OWNER/PARTNER)
(787) 250-0125
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON STE 715, SAN JUAN, PR 00917-5030
(787) 250-0125
Mailing address
735 AVE PONCE DE LEON STE 715, SAN JUAN, PR 00917-5030
(787) 250-0125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11593
MD
PR
Enumeration date
03/02/2023
Last updated
03/02/2023
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