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General NPI Number Information
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NPI Number | 1962728162
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Entity Type | Individual
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Provider Name | LEONARDO I VALENTIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 10 AVE LAS CUMBRES
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City | GUAYNABO
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State | PR
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Zip | 00969-4835
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Country | US
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Telephone | 787-740-8787
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1239
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City | GUAYNABO
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State | PR
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Zip | 00970-1239
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Country | US
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Telephone | 939-625-2525
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 18408
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 18408
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License Number State | PR
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