1841324282 NPI number — VICTOR O VALDEZ MD

Table of content: VICTOR O VALDEZ MD (NPI 1841324282)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841324282 NPI number — VICTOR O VALDEZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VALDEZ
Provider First Name:
VICTOR
Provider Middle Name:
O
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1841324282
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1959 CALLE FORTUNA
Provider Second Line Business Mailing Address:
URB VISTA ALEGRE
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00717-2304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-640-8224
Provider Business Mailing Address Fax Number:
188-834-7927

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1959 CALLE FORTUNA
Provider Second Line Business Practice Location Address:
URB VISTA ALEGRE
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00717-2304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-640-8224
Provider Business Practice Location Address Fax Number:
188-834-7927
Provider Enumeration Date:
03/16/2007

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: 207P00000X , with the licence number:  5498 , 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: 25695 . This is a "SSS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com