Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 16009 | PR |
NPI | 1033186481 |
---|---|
Provider Name | Dr. Luis A Valle |
First Address | Aguadilla, PR 00603-9465 |
Second Address | Aguadilla, PR 00603-9465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 11/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101035 | CRUZ AZUL (01) | PR |
16009 | BELLA VISTA (01) | PR |
2011368 | PREFERRED HEALTH (01) | PR |
23314VA | TRIPLE SSS (01) | PR |
3940 | PREFERRED MED CHOICE (01) | PR |
4651546 | FAMILY CARE (01) | PR |
A433 | FIRST MEDICAL (01) | PR |