Healthcare Provider Details

I. General information

NPI: 1871151761
Provider Name (Legal Business Name): CRISTHIAN VALOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 55TH ST
BROOKLYN NY
11220-2508
US

IV. Provider business mailing address

4907 4TH AVE APT 5D
BROOKLYN NY
11220-2494
US

V. Phone/Fax

Practice location:
  • Phone: 718-630-7000
  • Fax:
Mailing address:
  • Phone: 407-579-2835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME181596
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: