Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | 1382 | PR |
NPI | 1881819142 |
---|---|
Provider Name | Dr. Pedro E Valentin |
First Address | Aguadilla, PR 00605-0039 |
Second Address | Aguadilla, PR 00603-5723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |