Provider Demographics
NPI:1518215631
Name:DRA. IRMA C. VALENTIN PHYSIATRIST, LLC
Entity Type:Organization
Organization Name:DRA. IRMA C. VALENTIN PHYSIATRIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:C
Authorized Official - Last Name:VALENTIN-SALGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-313-1617
Mailing Address - Street 1:PO BOX 2136
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-2136
Mailing Address - Country:US
Mailing Address - Phone:787-608-6001
Mailing Address - Fax:
Practice Address - Street 1:B1 CAR 2 KM 45.0
Practice Address - Street 2:BO COTO NORTE SECT CANTERA
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-608-6001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-21
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation