Healthcare Provider Details

I. General information

NPI: 1588122899
Provider Name (Legal Business Name): LINNETTE VALENTIN LPN ADN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 RUTA 5
ISABELA PR
00662-4531
US

IV. Provider business mailing address

128 RUTA 5
ISABELA PR
00662-4531
US

V. Phone/Fax

Practice location:
  • Phone: 787-629-0298
  • Fax:
Mailing address:
  • Phone: 787-629-0298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number33866
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: