Provider Demographics
NPI:1851543862
Name:VALENCIA, CARLO RIGOR (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLO
Middle Name:RIGOR
Last Name:VALENCIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:121 BECKS WOODS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3853
Mailing Address - Country:US
Mailing Address - Phone:302-261-5600
Mailing Address - Fax:302-836-4302
Practice Address - Street 1:121 BECKS WOODS DR STE 100
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3853
Practice Address - Country:US
Practice Address - Phone:302-261-5600
Practice Address - Fax:302-836-4302
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0009802207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1851543862Medicaid
DE227194YDV3Medicare PIN