Provider Demographics
NPI:1073595914
Name:MEZA-VALENCIA, BEATRIZ EUGENIA (MD)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:EUGENIA
Last Name:MEZA-VALENCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 GENERAL HOSPITAL BOX 712
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205
Mailing Address - Country:US
Mailing Address - Phone:01182119-282-0847
Mailing Address - Fax:0118227-917-3094
Practice Address - Street 1:121 GENERAL HOSPITAL
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205
Practice Address - Country:US
Practice Address - Phone:0118227-917-8072
Practice Address - Fax:0118227-917-3094
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD11838208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics