Basic Information
| Provider Information | |||||||||
| NPI: | 1902117914 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VALENTIN SILVA | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | JAVIER GUSTAVO | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4980 | ||||||||
| Address2: | |||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007264980 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7873207223 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 100 AVE LUIS MUNOZ MARIN | ||||||||
| Address2: | |||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007256184 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876533434 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2010 | ||||||||
| LastUpdateDate: | 07/29/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 173000000X | PR | N | Other Service Providers | Legal Medicine | 1744R1102X | PR | N | Other Service Providers | Specialist | Research Study | 174H00000X | PR | N | Other Service Providers | Health Educator | 174V00000X | PR | N | Other Service Providers | Clinical Ethicist | 2083P0901X | 12346-I | PR | N | Allopathic & Osteopathic Physicians | Preventive Medicine | Public Health & General Preventive Medicine | 363A00000X | 741-PA | PR | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 363AM0700X | 741-PA | PR | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
ID Information
| ID | Type | State | Issuer | Description | 12356-I | 01 | PR | JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA DE PUERTO RICO | OTHER | 64914080345 | 01 | NY | AMERICAN MEDICAL ASSOCIATION | OTHER |