Provider Demographics
NPI:1225066087
Name:SANTINI VALIENTE, NANCY ENID (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ENID
Last Name:SANTINI VALIENTE
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:PO BOX 977
Mailing Address - Street 2:
Mailing Address - City:PUNTA SANTIAGO
Mailing Address - State:PR
Mailing Address - Zip Code:00741-0977
Mailing Address - Country:US
Mailing Address - Phone:787-285-4240
Mailing Address - Fax:787-285-4240
Practice Address - Street 1:12 CALLE TURQUESA
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-4162
Practice Address - Country:US
Practice Address - Phone:787-285-4240
Practice Address - Fax:787-285-4240
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12273207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR12273Medicaid
PR12273Medicaid
PR88684Medicare ID - Type Unspecified