Provider Demographics
NPI:1649548066
Name:VALENTIN, JUAN M (NL,MPH)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:M
Last Name:VALENTIN
Suffix:
Gender:M
Credentials:NL,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 70 PO BOX 2500
Mailing Address - Street 2:JUAN M. VALENTIN
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-2500
Mailing Address - Country:US
Mailing Address - Phone:787-640-5554
Mailing Address - Fax:
Practice Address - Street 1:A27 CALLE 1
Practice Address - Street 2:URB. MAGNOLIA GARDEN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-2157
Practice Address - Country:US
Practice Address - Phone:787-640-5554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR65175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath