Del Valle Medical Services Llc | |
39 Calle Rafael Lasa Aguas Buenas PR 00703-3220 | |
(787) 924-7575 | |
Not Available |
Full Name | Del Valle Medical Services Llc |
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Speciality | Clinic/Center |
Location | 39 Calle Rafael Lasa, Aguas Buenas, Puerto Rico |
Authorized Official Name and Position | Jorge Del Valle Reyes (OWNER) |
Authorized Official Contact | 7872170888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Del Valle Medical Services Llc Po Box 8549 Caguas PR 00726-8549 Ph: (787) 217-0888 | Del Valle Medical Services Llc 39 Calle Rafael Lasa Aguas Buenas PR 00703-3220 Ph: (787) 924-7575 |
NPI Number | 1558059550 |
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Provider Enumeration Date | 04/27/2023 |
Last Update Date | 04/27/2023 |
Medicare PECOS PAC ID | 7315304094 |
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Medicare Enrollment ID | O20230612002044 |
Identifier | Type | State | Issuer |
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1558059550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jorge Del Valle Reyes |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1063068591 PECOS PAC ID: 6002242906 Enrollment ID: I20200213001430 |
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