Provider Demographics
NPI:1801481148
Name:VALENTIN, RAUL I
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:I
Last Name:VALENTIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 CALLE RIO MAYAGUEX
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-5801
Mailing Address - Country:US
Mailing Address - Phone:787-408-6017
Mailing Address - Fax:
Practice Address - Street 1:17705 CARR 2 # EDF2
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5619
Practice Address - Country:US
Practice Address - Phone:787-819-3930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician