MEDICARE: DR. NELSON DAVID VALENTIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	21997	PR

General Provider Information

NPI Number	:	1326653148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NELSON DAVID VALENTIN MD

Provider Business Mailing Address
First Line	:	19 CALLE BALDORIOTY
Second Line	:
City	:	COAMO
State	:	PR
Zip	:	00769-2412
Country	:	US
Telephone Number	:	939-406-0643
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 CALLE BALDORIOTY
Second Line	:
City	:	COAMO
State	:	PR
Zip	:	00769-2412
Country	:	US
Telephone Number	:	939-406-0643
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2020
Last Update Date	:	12/17/2023

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