Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 2815 | PR |
NPI | 1083878912 |
---|---|
Provider Name | Dr. Arnaldo R Valencia Pintado |
First Address | Carolina, PR 00985-5672 |
Second Address | Carolina, PR 00985-5672 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 02/08/2012 |