Provider Demographics
NPI:1740914399
Name:LINERA-ASENCIO, VALERIA MARIA (DMD)
Entity type:Individual
Prefix:DR
First Name:VALERIA
Middle Name:MARIA
Last Name:LINERA-ASENCIO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:VALERIA
Other - Middle Name:MARIA
Other - Last Name:LINERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:URB. JARDINES DE BAYAMONTE
Mailing Address - Street 2:CALLE RUISENOR
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-666-9953
Mailing Address - Fax:
Practice Address - Street 1:1775 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-8202
Practice Address - Country:US
Practice Address - Phone:787-666-9953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program