Provider Demographics
NPI:1780576397
Name:FLORAN VALDEZ, ABRAHAM RAFAEL
Entity type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:RAFAEL
Last Name:FLORAN VALDEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VEGA BAJA LAKES CALLE 10
Mailing Address - Street 2:K33
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3829
Mailing Address - Country:US
Mailing Address - Phone:939-577-9933
Mailing Address - Fax:
Practice Address - Street 1:URB. VEGA BAJA LAKES CALLE 10
Practice Address - Street 2:K33
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-3829
Practice Address - Country:US
Practice Address - Phone:939-577-9933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR008454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist