Provider Demographics
NPI:1881731867
Name:BELAVAL, MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:
Last Name:BELAVAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AB1 CALLE REINA ISABEL
Mailing Address - Street 2:AVE. BAIROA LOCAL 1
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1565
Mailing Address - Country:US
Mailing Address - Phone:787-258-9219
Mailing Address - Fax:
Practice Address - Street 1:AB1 CALLE REINA ISABEL
Practice Address - Street 2:AVE. BAIROA LOCAL 1
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1565
Practice Address - Country:US
Practice Address - Phone:787-258-9219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR280111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor