Provider Demographics
NPI:1568450898
Name:YULIAN VALENTIN, ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:
Last Name:YULIAN VALENTIN
Suffix:
Gender:M
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 371355
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-1355
Mailing Address - Country:US
Mailing Address - Phone:787-744-0670
Mailing Address - Fax:787-744-0670
Practice Address - Street 1:AVE LUIS MUNOZ MARIN HIMA PLAZA 1
Practice Address - Street 2:SUITE 413
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2000
Practice Address - Country:US
Practice Address - Phone:787-744-0670
Practice Address - Fax:787-961-4682
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4802208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E08556Medicare UPIN
PR96977Medicare ID - Type Unspecified