Provider Demographics
NPI:1811970734
Name:DEL VALLE, ISABEL M (DDS)
Entity type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:M
Last Name:DEL VALLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2431 LAS AMERICAS AVE.
Mailing Address - Street 2:SUITE 307
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2116
Mailing Address - Country:US
Mailing Address - Phone:787-841-6681
Mailing Address - Fax:787-841-5107
Practice Address - Street 1:2431 AVE LAS AMERICAS
Practice Address - Street 2:SUITE 307
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2113
Practice Address - Country:US
Practice Address - Phone:787-841-6681
Practice Address - Fax:787-841-5107
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR17191223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry