Provider Demographics
NPI:1043209208
Name:DEL VALLE, ZHURA E (DMD MPH)
Entity type:Individual
Prefix:DR
First Name:ZHURA
Middle Name:E
Last Name:DEL VALLE
Suffix:
Gender:F
Credentials:DMD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1109
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-1109
Mailing Address - Country:US
Mailing Address - Phone:787-760-4890
Mailing Address - Fax:787-760-5028
Practice Address - Street 1:AVE BARBOSA 404 CALLE SICILIA
Practice Address - Street 2:
Practice Address - City:RIO PIEDNAI
Practice Address - State:PR
Practice Address - Zip Code:00928
Practice Address - Country:US
Practice Address - Phone:787-758-8800
Practice Address - Fax:787-758-9962
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice