Provider Demographics
NPI:1093753253
Name:VALENTIN-MARRERO, FELIX ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:ALBERTO
Last Name:VALENTIN-MARRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1517
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-1517
Mailing Address - Country:US
Mailing Address - Phone:787-896-3591
Mailing Address - Fax:787-280-1335
Practice Address - Street 1:126 CALLE PAVIA FERNANDEZ
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-2285
Practice Address - Country:US
Practice Address - Phone:787-896-3591
Practice Address - Fax:787-280-1335
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR7326208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC84325Medicare UPIN