Provider Demographics
NPI:1568181691
Name:DEL VALLE VEGA, SARYBELL JOAN (MD)
Entity type:Individual
Prefix:
First Name:SARYBELL
Middle Name:JOAN
Last Name:DEL VALLE VEGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. BONNEVILLE HEIGHTS CALLE CIDRA #6
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:939-940-2825
Mailing Address - Fax:
Practice Address - Street 1:UPR-MEDICAL SCIENCE CAMPUS SCHOOL OF MEDICINE
Practice Address - Street 2:DEPARTMENT OF MEDICINE PO BOX 365067
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17029207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine