Valencia, Mauricio

Valencia, Mauricio is an individual health care provider with primary practice located at 8500 Charlotte Hwy , Indian Land SC 29707-7591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Valencia, Mauricio can be contacted via phone (803) 548-9393.

Contact Information

Primary practice address
8500 Charlotte Hwy Indian Land SC 29707-7591
Fax: (803) 548-9590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 226973 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2091914 South Carolina

Profile Details

NPI number 1962453647
LBN Legal business name Valencia, Mauricio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Apr 29th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962453647 NPPES
New York MEDICAID 02359960

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