Healthcare Provider Details

I. General information

NPI: 1750146957
Provider Name (Legal Business Name): VALENTA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 AVE LUIS MUNOZ MARIN
CAGUAS PR
00725-6184
US

IV. Provider business mailing address

1500 FD ROOSEVELT STE 407
GUAYNABO PR
00968-2651
US

V. Phone/Fax

Practice location:
  • Phone: 787-436-0727
  • Fax: 787-544-6239
Mailing address:
  • Phone: 787-616-0032
  • Fax: 787-544-6239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL SANTOS
Title or Position: OWNER
Credential: MD
Phone: 787-436-0727