Provider Demographics
NPI:1881457448
Name:VALVERDE, ALBERTO JR
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:VALVERDE
Suffix:JR
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 1:1331 N 7TH ST STE 355
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2772
Mailing Address - Country:US
Mailing Address - Phone:602-900-1822
Mailing Address - Fax:602-900-1862
Practice Address - Street 1:1331 N 7TH ST STE 355
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2772
Practice Address - Country:US
Practice Address - Phone:602-900-1822
Practice Address - Fax:602-900-1862
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-24524225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist