Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 224871 | NY |
NPI | 1013079441 |
---|---|
Provider Name | Dr. Diana Marisa Delvalle |
First Address | Boca Raton, FL 33486-2335 |
Second Address | Boca Raton, FL 33486-2335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 08/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02670919 | (05) | NY |
I32494 | (02) | FL |