Provider Demographics
NPI:1538859517
Name:DR DEL VALLE MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:DR DEL VALLE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:DEL VALLE TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-403-0493
Mailing Address - Street 1:PO BOX 1330
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-1330
Mailing Address - Country:US
Mailing Address - Phone:787-898-5019
Mailing Address - Fax:787-898-4924
Practice Address - Street 1:189 AVE DR SUSONI
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-2113
Practice Address - Country:US
Practice Address - Phone:787-898-5019
Practice Address - Fax:787-898-4924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty