Organization Active NPI

Neurology HD, PSC

  • Neurology Physician
  • Guaynabo, PR
National Provider Identifier
1083981971
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
17094 Issued in PR
Legal business name
NEUROLOGY HD, PSC
Practice address
PMB 742 1353 Ave Luis Vigoreaux
Guaynabo, PR 00966
Phone
(787) 232-9802
NPI assigned
Nov 21, 2011
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Horacio Fernando Daubon del ValleNPI 1467573204
Title
Neurologist
Phone
(787) 232-9802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 17094 PR Primary

Addresses

Primary practice location

PMB 742 1353 Ave Luis Vigoreaux
Guaynabo, PR 00966

Mailing address

PMB 742 1353 Ave Luis Vigoreaux
Guaynabo, PR 00966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120510000211 PR Part B Supplier - Clinic/Group Practice 3072775915 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1083981971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 742 1353 AVE LUIS VIGOREAUX",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMB 742 1353 AVE LUIS VIGOREAUX",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-232-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY HD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "DAUBON DEL VALLE",
        "authorized_official_first_name": "HORACIO",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "787-232-9802"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "17094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.