Organization Active NPI

Valeni Mastectomy Womens Health

  • Durable Medical Equipment & Medical Supplies
  • Bayamon, PR
National Provider Identifier
1376661793
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VALENI MASTECTOMY WOMENS HEALTH
Practice address
Santa Rosa Mall
Suite 202 B
Bayamon, PR 00959-6710
Phone
(787) 798-7023
Fax
(508) 682-0917
NPI assigned
Mar 26, 2007
Last updated
Jul 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria T Liceaga
Title
President
Phone
(787) 798-7023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

Santa Rosa Mall
Suite 202 B
Bayamon, PR 00959-6710

Mailing address

Colorado St. 1631
Urb. San Gerardo
San Juan, PR 00926
Phone (787) 798-7023

National Provider Directory

National Provider Directory
Tax ID family
Valeni Mastectomy Women's Health Shop Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1376661793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLORADO ST. 1631",
            "address_2": "URB. SAN GERARDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-798-7023",
            "fax_number": "508-682-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA ROSA MALL",
            "address_2": "SUITE 202 B",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596710",
            "telephone_number": "787-798-7023",
            "fax_number": "508-682-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENI MASTECTOMY WOMENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "LICEAGA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-798-7023"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.