Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist | PR |
NPI | 1902117914 |
---|---|
Provider Name | Dr. Frank Javier Gustavo Valentin Silva |
First Address | Caguas, PR 00726-4980 |
Second Address | Caguas, PR 00725-6184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2010 |
Last Update Date | 29/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12356-I | JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA DE PUERTO RICO (01) | PR |
64914080345 | AMERICAN MEDICAL ASSOCIATION (01) | NY |