Mario Rl Valenzuela in Portage - Psychiatry

Mario Rl Valenzuela - NPI 1255436705

Mario Rl Valenzuela is a Psychiatry in Portage, Wisconsin. Mario Rl Valenzuela practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Mario Rl Valenzuela is 1255436705. The last update date is 2014-04-15.

Mario Rl Valenzuela's current location address is 2901 Hunters Trl, Portage, Wisconsin. You can contact this provider via phone number 6087425518 and fax number 6087424087. The mailing address for Mario Rl Valenzuela is 2901 Hunters Trl, Portage, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mario Rl Valenzuela
Address 2901 Hunters Trl, Portage, Wisconsin
Phone Number 6087425518
Fax Number 6087424087
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1255436705
Provider Enumeration Date 2006-09-13
Last Updated Date 2014-04-15

Provider Mailing Address Detail

Address 2901 Hunters Trl
City Portage
State Wisconsin (WI)
Post Code 539013403
Phone Number 6087425518
Fax Number 6087424087

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 41231020
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32603500 WI --

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FAQs about Mario Rl Valenzuela

What is the unique 10-digit identification code issued to Mario Rl Valenzuela by the Centers for Medicare & Medicaid Services?

The Mario Rl Valenzuela has been assigned the NPI (National Provider Identifier) 1255436705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Mario Rl Valenzuela is physically located?

The Mario Rl Valenzuela is situated at the following address: 2901 Hunters Trl, Portage, WI 539013403.

What is Mario Rl Valenzuela's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mario Rl Valenzuela is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services assign the 1255436705 to Mario Rl Valenzuela?

The Centers for Medicare & Medicaid Services assigned the 1255436705 to Mario Rl Valenzuela on 2006-09-13.

As of what date were the details pertaining to Mario Rl Valenzuela last refreshed?

The information related to the Mario Rl Valenzuela, including its address, specialty, and other relevant details, was last updated on 2014-04-15.

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