Provider Demographics
NPI:1760896617
Name:VALDEZ, GRALDYS (RN)
Entity Type:Individual
Prefix:MS
First Name:GRALDYS
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1459 CALLE AIBONITO
Mailing Address - Street 2:URB. HIPODROMO, PDA. 20
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-327-2577
Mailing Address - Fax:
Practice Address - Street 1:1459 CALLE AIBONITO
Practice Address - Street 2:URB. HIPODROMO, PDA. 20
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-327-2577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23164163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse