Provider Demographics
NPI:1164171260
Name:DEL VALLE DIAZ, FRANCISCO A
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:A
Last Name:DEL VALLE DIAZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 CARR 177
Mailing Address - Street 2:CONDOMINIO LA CORUNA APT 2404
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-216-2261
Mailing Address - Fax:
Practice Address - Street 1:2023 CARR 177 APT 2404
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5166
Practice Address - Country:US
Practice Address - Phone:787-428-7871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program