Individual
ABEL VALLE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 CALLE 2A, EXTENSION VILLA RICA, BAYAMON, PR 00959
(787) 236-1002
Mailing address
24 CALLE 2A, EXTENSION VILLA RICA, BAYAMON, PR 00959
(787) 236-1002
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123463
ACAA
PR
01
—
23602
TRIPLE S
PR
Enumeration date
08/11/2006
Last updated
11/22/2016
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