Provider Demographics
NPI:1750010302
Name:DELVALLE, NANCY J
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:DELVALLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 CALLE RUBI
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-2734
Mailing Address - Country:US
Mailing Address - Phone:787-516-1342
Mailing Address - Fax:
Practice Address - Street 1:537 CALLE RUBI
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-2734
Practice Address - Country:US
Practice Address - Phone:787-516-2439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker