Provider Demographics
NPI:1154422376
Name:DEL VALLE, LUZ H
Entity type:Individual
Prefix:MISS
First Name:LUZ
Middle Name:H
Last Name:DEL VALLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2376
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2376
Mailing Address - Country:US
Mailing Address - Phone:787-271-3744
Mailing Address - Fax:787-271-3907
Practice Address - Street 1:CARR. #3 CALLE RIEFKHOL #3
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723
Practice Address - Country:US
Practice Address - Phone:787-271-3744
Practice Address - Fax:787-271-3907
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11-F-27183336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy