1306139118 NPI number — ARISEL VALENTIN

Table of content: ARISEL VALENTIN (NPI 1306139118)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306139118 NPI number — ARISEL VALENTIN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VALENTIN
Provider First Name:
ARISEL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306139118
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CARR 107
Provider Second Line Business Mailing Address:
KM3.1 CENTRO COMERCIAL PLAZA BORINQUEN
Provider Business Mailing Address City Name:
AGUADILLA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00603-5970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-819-1326
Provider Business Mailing Address Fax Number:
787-819-0761

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 107
Provider Second Line Business Practice Location Address:
KM3.1 CENTRO COMERCIAL PLAZA BORINQUEN
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603-5970
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-819-1326
Provider Business Practice Location Address Fax Number:
787-819-0761
Provider Enumeration Date:
05/26/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  5246 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5246 . This is a "PHARMACIST LICENSE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com