Provider Demographics
NPI:1568906436
Name:DELVALLE, ARMANDO (MSW)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:DELVALLE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 11 BOX 47892
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9006
Mailing Address - Country:US
Mailing Address - Phone:787-216-3243
Mailing Address - Fax:787-535-7505
Practice Address - Street 1:HC 11 BOX 47892
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-9006
Practice Address - Country:US
Practice Address - Phone:787-216-3243
Practice Address - Fax:787-535-7505
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13555104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker