| Doctor Name: | MR. MIRIAM DEL VALLE |
| NPI Number: | 1427268846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 8357 |
| Business Practice Address: | Calle E Urb. Monte Brisas Suite 80 Fajardo, PR - 00738 |
| Business Phone Number: | 7878013071 |
| Business Fax Number: | 7878013073 |
| Mailing Address: | D88 Calle 5, Villa Palmira PUNTA SANTIAGO |
| State: | PR |
| Postal Code: | 007412019 |
| Phone Number: | 7872851117 |
| Fax Number: | 7877362105 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 8357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |