Individual provider Active NPI

Glorydela Valle, MD

  • Internal Medicine Physician
  • Rio Piedras, PR
National Provider Identifier
1083864748
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27072R Issued in PR
Practice address
Urb. la Cumbre Calle Caguas 380
Rio Piedras, PR 00926
Phone
(939) 640-8999
Fax
(787) 765-5147
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27072R PR Primary

Addresses

Primary practice location

Urb. la Cumbre Calle Caguas 380
Rio Piedras, PR 00926

Mailing address

Urb. la Cumbre Calle Caguas 380
Rio Piedras, PR 00926
Phone (939) 640-8999

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
I20120816000450 PR Practitioner - Internal MedicinePractitioner - Emergency Medicine 1052567542 Reassigns benefits to 3 organizations
Practice locations: Hato Rey, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27072RPRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MM Health Services, LLC. CurrentSince Oct 18, 2025 Accepting new patients
MM Health Services LLC CurrentSince Oct 18, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 2, 2012 Accepting new patients
Zenith Health Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 2, 2012 Accepting new patients
Dla Imaging LLC PastSince Sep 17, 2023 Accepting new patients

Locations

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

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1083864748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA CUMBRE CALLE CAGUAS 380",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "939-640-8999",
            "fax_number": "787-765-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LA CUMBRE CALLE CAGUAS 380",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "939-640-8999",
            "fax_number": "787-765-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "GLORYDELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "27072R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.