Healthcare Provider Details

I. General information

NPI: 1043968696
Provider Name (Legal Business Name): VALERIA M. GONZALEZ ALBINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSIDAD DE PUERTO RICO RECINTO DE CIENCIAS MEDICAS URO DEPT
SAN JUAN PR
00936
US

IV. Provider business mailing address

UNIVERSIDAD DE PUERTO RICO RECINTO DE CIENCIAS MEDICAS
SAN JUAN PR
00987-8708
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2525
  • Fax:
Mailing address:
  • Phone: 787-758-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number17080
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number17080
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: