Provider Demographics
NPI:1689186876
Name:VALLES, NABILA MAHER (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:NABILA
Middle Name:MAHER
Last Name:VALLES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 VIA SENECA
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-7416
Mailing Address - Country:US
Mailing Address - Phone:787-516-0745
Mailing Address - Fax:
Practice Address - Street 1:87 VIA SENECA
Practice Address - Street 2:
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-7416
Practice Address - Country:US
Practice Address - Phone:787-516-0745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-29
Last Update Date:2017-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4977583OtherDRIVER LICENSE