MEDICARE: DR. WILMER H VALENTIN GONZALEZ M.D.

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	174400000X	Specialist	6911	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427048420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILMER H VALENTIN GONZALEZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8973
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00960-8973
Country	:	US
Telephone Number	:	787-884-0505
Fax Number	:	787-884-0510

Provider Business Practice Location Address
First Line	:	8 AVE LAS CUMBRES
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-4818
Country	:	US
Telephone Number	:	787-740-8787
Fax Number	:	787-708-6520

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

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	01/21/2025

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