Provider Demographics
NPI:1710362702
Name:SANFINA, CSP
Entity type:Organization
Organization Name:SANFINA, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAN / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DE LOS ANGELES
Authorized Official - Last Name:VALENTIN MARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-844-9101
Mailing Address - Street 1:609 AVE TITO CASTRO
Mailing Address - Street 2:PMB 295 STE 102
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0200
Mailing Address - Country:US
Mailing Address - Phone:787-844-9101
Mailing Address - Fax:787-651-1428
Practice Address - Street 1:909 AVE TITO CASTRO STE 609
Practice Address - Street 2:TORRE MEDICA SAN LUCAS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4728
Practice Address - Country:US
Practice Address - Phone:787-844-9101
Practice Address - Fax:787-651-1428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13555305R00000X
207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No305R00000XManaged Care OrganizationsPreferred Provider OrganizationGroup - Single Specialty