Kenji Yamamoto - Valenzuela | Rio Piedras, PR • PECOS Search

Kenji Yamamoto - Valenzuela

Student in an Organized Health Care Education/Training Program

Student, Health Care

Administracion De Servicios Medicos De Pr, Centro Medico De Pr, Bo. Monacillos, Rio Piedras, PR 00935

(787) 777-3535 (787) 758-2525

PECOS Enrollment

Based on the most recent information from CMS, provider Kenji Yamamoto - Valenzuela does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1457094989
Provider Type
Individual
Full Name
Yamamoto - Valenzuela, Kenji
Title
Dr.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/13/2022
Last Updated
4/13/2022

Contact Information

Practice Location

Administracion De Servicios Medicos De Pr, Centro Medico De Pr, Bo. Monacillos, Rio Piedras, PR 00935

Unlisted Fax

Mailing Location

Cirugia Oral Y Maxilofacial Rcm, Po Box 365067, San Juan, PR 00936-5067

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer