Individual provider Active NPI

Jose L. Valderrabano, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1083719124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6195 Issued in PR
Practice address
208 Calle Tulipan
Urb. San Francisco
San Juan, PR 00927-6221
Phone
(787) 763-2032
Fax
(787) 281-6395
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6195 PR Primary

Addresses

Primary practice location

208 Calle Tulipan
Urb. San Francisco
San Juan, PR 00927-6221

Mailing address

208 Calle Tulipan
Urb. San Francisco
San Juan, PR 00927-6221
Phone (787) 763-2032

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
I20080514000379 PR Practitioner - Diagnostic Radiology 2466521687 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dla Imaging LLCGroup PAC ID 4981986015, 28 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6195PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. Diagnostic Radiology CurrentSince May 15, 2019 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince May 15, 2019 Accepting new patients
Caribe Physicians Plaza Corporation CurrentSince May 1, 2020 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Med Centro, Inc. Current Accepting new patients
Salud Integral En la Montana, Inc. Current Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Advance Digital Image, Corp Diagnostic Radiology CurrentSince Apr 17, 2019 Accepting new patients
Ecoimagenes de Puerto Rico, Corp. Diagnostic Radiology CurrentSince Mar 16, 2021 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc Diagnostic Radiology CurrentSince May 15, 2019 Accepting new patients
Salud Integral En la Montana, 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 CurrentSince Sep 1, 2007 Accepting new patients
Salud Integral En la Montana, Inc Diagnostic Radiology CurrentSince May 15, 2019 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince May 15, 2019 Accepting new patients
Med Centro Inc. CurrentSince Dec 6, 2023 Accepting new patients
Salud Integral En la Montana, Inc Diagnostic Radiology CurrentSince May 15, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Sep 1, 2007 Accepting new patients
Mediko Imaging Inc. Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
Salud Integral En la Montana, Inc Diagnostic Radiology CurrentSince May 15, 2019 Accepting new patients
Insight Management Group Inc Diagnostic Radiology CurrentSince Nov 22, 2019 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 Mar 16, 2019 Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

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

18 Calle Gerardo Nieves Mercado
Comerio, PR 00782

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

Organizations & group practices 28

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 28

Hospital & facility affiliations 1

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083719124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CALLE TULIPAN",
            "address_2": "URB. SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276221",
            "telephone_number": "787-763-2032",
            "fax_number": "787-281-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CALLE TULIPAN",
            "address_2": "URB. SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276221",
            "telephone_number": "787-763-2032",
            "fax_number": "787-281-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDERRABANO",
        "first_name": "JOSE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "6195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.