Individual provider Active NPI

Ivonne Marquez Valencia, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1053457630
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
10488 Issued in PR
Practice address
258 Calle San Jorge
San Juan, PR 00912
Phone
(787) 727-1000
NPI assigned
Jan 30, 2007
Last updated
Aug 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 10488 PR Primary

Addresses

Primary practice location

258 Calle San Jorge
San Juan, PR 00912

Mailing address

1837 Calle Acacia
San Juan, PR 00927-6712
Phone (787) 763-5474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823000880 PR Practitioner - Diagnostic Radiology 6800145913 Reassigns benefits to 10 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dla Imaging LLCGroup PAC ID 4981986015, 28 clinicians
Aguadilla Medical Services IncGroup PAC ID 6204816770, 5 clinicians

Practice addresses (Care Compare)

1785 Carr
Suite 21
San Juan, PR 00921-3399
Phone (787) 782-9999

522 Calle Tintillo
Guaynabo, PR 00966-1667
Phone (787) 975-9521

55 Calle Palma
Arecibo, PR 00612-4526
Phone (787) 650-1030

Road 2 KM
3 Bo Victoria
Aguadilla, PR 00603
Phone 7878820303231

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10488PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Aguadilla Medical Services, Inc. CurrentSince Mar 2, 2021 Accepting new patients
Bella Vista Hospital Inc CurrentSince Feb 1, 2020 Accepting new patients
Caribe Physicians Plaza Corporation CurrentSince May 1, 2020 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Ecoimagenes de Puerto Rico, Corp. Diagnostic Radiology CurrentSince Mar 16, 2021 Accepting new patients
Aguadilla Medical Services, Inc. CurrentSince Mar 2, 2021 Accepting new patients
Aguada Medical Center Inc. Current Accepting new patients
Aguadilla Medical Services, Inc. Current Accepting new patients
Laboratorio Clinico Y de Ref de Fajardo Inc CurrentSince May 1, 2020 Accepting new patients
Guaynabo Radiology, LLC CurrentSince Mar 1, 2021 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Centro Medico del Turabo Inc Current Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 1, 2020 Accepting new patients
Insight Management Group Inc Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Fajardo Integrated Medical Center CurrentSince Aug 16, 2024 Accepting new patients
Zenith Health Group LLC Past Accepting new patients
Aguada Medical Center Care Club PastSince Feb 8, 2020 Accepting new patients
Aguadilla Medical Services, Inc Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

151 Ave Osvaldo Molina
Fajardo, PR 00738
Phone (787) 414-4434

404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731

8 Ave Las Cumbres
Guaynabo, PR 00969
Phone (787) 307-7674

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

Interoperability endpoints

  • Direct secure messaging: sjcimarqu@yourcarecommunity.org

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1053457630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 CALLE ACACIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276712",
            "telephone_number": "787-763-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 CALLE SAN JORGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-727-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ VALENCIA",
        "first_name": "IVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "10488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.