Active NPI
Ramon H Bermudez-del Valle, MD
- Infectious Disease Physician
- San Juan, PR
National Provider Identifier
1063598266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 2657
- Practice address
- Ave Ponce de Leon Pda 371/2
Hospital Auxilio Mutuo
San Juan, PR 00919-1227 - Phone
- (787) 447-0826
- Fax
- (787) 789-3733
- NPI assigned
- Oct 31, 2006
- Last updated
- Mar 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 16253020 | WI | |
| Infectious Disease Physician | 207RI0200X | 2657 | PR | Primary |
Addresses
Primary practice location
Ave Ponce de Leon Pda 371/2
Hospital Auxilio Mutuo
San Juan, PR 00919-1227
Mailing address
PO Box 1737
Guaynabo, PR 00970-1737
Phone (787) 789-3733
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66040 | Other | MAPPRE | |
| 234020 | Other | PREFERRED HEALTH | |
| 10391 | Other | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16253020 | WI | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jbertran MD LLC | Infectious Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Infectious Disease Physician
- San Juan, PR
- NPI 1184441099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1063598266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1737",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009701737",
"telephone_number": "787-789-3733",
"fax_number": "787-789-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE PONCE DE LEON PDA 371/2",
"address_2": "HOSPITAL AUXILIO MUTUO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009191227",
"telephone_number": "787-447-0826",
"fax_number": "787-789-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMUDEZ-DEL VALLE",
"first_name": "RAMON",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "WI",
"license": "16253020",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PR",
"license": "2657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAPPRE",
"identifier": "66040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "234020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "10391",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.