Provider Demographics
NPI:1225310717
Name:VALENTIN, MONICA (MA)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:VALENTIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BO. PALMAS PARCELAS WILLIAM FUERTE
Mailing Address - Street 2:A- 35 CALLE 2
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962
Mailing Address - Country:US
Mailing Address - Phone:787-240-2772
Mailing Address - Fax:
Practice Address - Street 1:BO. PALMAS PARCELAS WILLIAM FUERTE
Practice Address - Street 2:A- 35 CALLE 2
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962
Practice Address - Country:US
Practice Address - Phone:787-240-2772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3720103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist