MEDICARE: DR. EUGENIO RAFAEL BARBOSA DEL VALLE 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	208D00000X	General Practice Physician	7776	PR

General Provider Information

NPI Number	:	1437155264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENIO RAFAEL BARBOSA DEL VALLE M.D.

Provider Business Mailing Address
First Line	:	PMB 166, 405 ESMERALDA AVE
Second Line	:	STE 2
City	:	GUAYNABO
State	:	PR
Zip	:	00969-4457
Country	:	US
Telephone Number	:	787-277-5477
Fax Number	:	787-277-5476

Provider Business Practice Location Address
First Line	:	1476 AVE SAN IGNACIO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-4739
Country	:	US
Telephone Number	:	787-277-5477
Fax Number	:	787-277-5476

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	10/07/2023

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