Healthcare Provider Details

I. General information

NPI: 1538098231
Provider Name (Legal Business Name): VALENTINA MENCHERO-MACHADO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 PENNSYLVANIA AVE STE 304
CHARLESTON WV
25302-3390
US

IV. Provider business mailing address

830 PENNSYLVANIA AVE STE 304
CHARLESTON WV
25302-3390
US

V. Phone/Fax

Practice location:
  • Phone: 304-388-1522
  • Fax: 304-388-1570
Mailing address:
  • Phone: 304-388-1522
  • Fax: 304-388-1570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: