Provider Demographics
NPI:1790982155
Name:DEL RIO-SANTIAGO, VALENTIN JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:VALENTIN
Middle Name:JOSE
Last Name:DEL RIO-SANTIAGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 DE DIEGO CHALETS APT 21
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-3134
Mailing Address - Country:US
Mailing Address - Phone:787-486-5372
Mailing Address - Fax:
Practice Address - Street 1:474 CALLE DE DIEGO
Practice Address - Street 2:DE DIEGO CHALETS APT 21
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3101
Practice Address - Country:US
Practice Address - Phone:787-486-5372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17655207R00000X, 207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease