Doctor Name: | MR. CARLOS GUILLERMO DEL VALLE BALAGUER |
NPI Number: | 1245323187 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 13173 |
Business Practice Address: | Calle De Diego Esg Peral Cordonnes La Palma Suite Ij Mayaguez, PR - 00680 |
Business Phone Number: | 7878316242 |
Business Fax Number: | 7878316243 |
Mailing Address: | 1907 Jose Sabater, Paseo Los Robles MAYAGUEZ |
State: | PR |
Postal Code: | 00682 |
Phone Number: | 7878057361 |
Fax Number: | 7878316243 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 06/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |