Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME121285 | FL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 019705 | PR |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | ME121285 | FL |
N | 208200000X | Surgeon | 11735-I | PR |
N | 208600000X | Surgeon | 11735-I | PR |
NPI | 1659564094 |
---|---|
Provider Name | Ernesto Jose Del Valle Hernandez |
First Address | Orlando, FL 32804-4674 |
Second Address | Orlando, FL 32804-4674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 04/09/2020 |