Provider Demographics
NPI:1962849042
Name:DEL VALLE AUTO CITAS INC.
Entity Type:Organization
Organization Name:DEL VALLE AUTO CITAS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-678-1453
Mailing Address - Street 1:97 CALLE BETANCES
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3516
Mailing Address - Country:US
Mailing Address - Phone:787-678-1453
Mailing Address - Fax:787-961-6735
Practice Address - Street 1:97 CALLE BETANCES
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3516
Practice Address - Country:US
Practice Address - Phone:787-678-1453
Practice Address - Fax:787-961-6735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1733189343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)