Provider Demographics
NPI:1538696901
Name:VALVERDE, MANUEL ALVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ALVIN
Last Name:VALVERDE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5203 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-8141
Mailing Address - Country:US
Mailing Address - Phone:727-565-2562
Mailing Address - Fax:
Practice Address - Street 1:5203 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-8141
Practice Address - Country:US
Practice Address - Phone:727-565-2562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11935111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor