Provider Demographics
NPI:1073208013
Name:GAVIOLA, MA. BEATRICE CAMILLE VALENCIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MA. BEATRICE CAMILLE
Middle Name:VALENCIA
Last Name:GAVIOLA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1001 COVINGTON STREET ST. ELIZABETH YOUNGSTOWN HOSPITAL
Mailing Address - Street 2:INTERNAL MEDICINE
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44510
Mailing Address - Country:US
Mailing Address - Phone:330-480-2616
Mailing Address - Fax:
Practice Address - Street 1:1001 COVINGTON STREET ST. ELIZABETH YOUNGSTOWN HOSPITAL
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44510
Practice Address - Country:US
Practice Address - Phone:330-480-2616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH57.255010207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine