Individual provider · Type 1 NPI

Edwin Edgardo Vallecillo Betancourth, MD

Student in an Organized Health Care Education/Training Program · Wilmington, DE

NPI number 1912847799 Active

Practice location

701 N Clayton St
Wilmington, DE 19805-3155

Call (302) 575-8141 Map

Fax (302) 483-2356

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912847799

Edwin Edgardo Vallecillo Betancourth, MD's National Provider Identifier is 1912847799, issued on Mar 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilmington, DE. The record was last updated on Mar 31, 2026.