Provider Demographics
NPI:1992289326
Name:VALENTIN, AUREA MARITZA (MS)
Entity type:Individual
Prefix:
First Name:AUREA
Middle Name:MARITZA
Last Name:VALENTIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 GRAND BLVD LOS PRADOS APT 33203
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-3445
Mailing Address - Country:US
Mailing Address - Phone:787-376-4040
Mailing Address - Fax:
Practice Address - Street 1:110 CALLE DEL PARQUE
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00911-1901
Practice Address - Country:US
Practice Address - Phone:787-723-4857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000433235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty