Provider Demographics
NPI:1699038067
Name:INSTITUTO NEUROPSICOTERAPEUTICO DR DEL VALLE ORTIZ INC
Entity Type:Organization
Organization Name:INSTITUTO NEUROPSICOTERAPEUTICO DR DEL VALLE ORTIZ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EFRAIN
Authorized Official - Middle Name:EDGARDO
Authorized Official - Last Name:DEL VALLE ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-276-2545
Mailing Address - Street 1:GL14 AVE CAMPO RICO
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982-2675
Mailing Address - Country:US
Mailing Address - Phone:787-276-2545
Mailing Address - Fax:
Practice Address - Street 1:GL14 AVE CAMPO RICO
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-2675
Practice Address - Country:US
Practice Address - Phone:787-276-2545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9373261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service