Provider Demographics
NPI:1740366731
Name:SANCHEZ-DEL VALLE, MITCHEL A (MD)
Entity type:Individual
Prefix:DR
First Name:MITCHEL
Middle Name:A
Last Name:SANCHEZ-DEL VALLE
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 1:1394 CALLE SAN RAFAEL
Mailing Address - Street 2:DOCTOR'S MEDICAL PAVILION, SUITE 9
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2541
Mailing Address - Country:US
Mailing Address - Phone:787-724-3595
Mailing Address - Fax:787-724-0778
Practice Address - Street 1:1394 CALLE SAN RAFAEL
Practice Address - Street 2:DOCTOR'S MEDICAL PAVILION, SUITE 9
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-2541
Practice Address - Country:US
Practice Address - Phone:787-724-3595
Practice Address - Fax:787-724-0778
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4478174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist