Provider Demographics
NPI:1801344544
Name:VALENTIN, SOLSIREE (TECHNICIAN)
Entity type:Individual
Prefix:
First Name:SOLSIREE
Middle Name:
Last Name:VALENTIN
Suffix:
Gender:F
Credentials:TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 CALLE CEREZA
Mailing Address - Street 2:BO CABO CARIBE
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:939-251-6180
Mailing Address - Fax:
Practice Address - Street 1:783 CALLE CEREZAS
Practice Address - Street 2:BO. CABO CARIBE
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-9030
Practice Address - Country:US
Practice Address - Phone:939-251-6180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR010790247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other