Healthcare Provider Details

I. General information

NPI: 1386551471
Provider Name (Legal Business Name): VALERIA DEL CARMEN SANTOS BALZAC DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1862 CALLE GLASGOW
SAN JUAN PR
00921-4813
US

IV. Provider business mailing address

26 CARR 833 APT 701Q
GUAYNABO PR
00971-9029
US

V. Phone/Fax

Practice location:
  • Phone: 787-671-3723
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1165
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: