Provider Demographics
NPI:1881819142
Name:VALENTIN, PEDRO E (DMD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:E
Last Name:VALENTIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-0039
Mailing Address - Country:US
Mailing Address - Phone:787-891-1338
Mailing Address - Fax:787-891-2266
Practice Address - Street 1:171 AVE PEDRO ALBIZU CAMPOS
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5723
Practice Address - Country:US
Practice Address - Phone:787-891-1338
Practice Address - Fax:787-891-2266
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1382122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist