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
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

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

Locations

73 Calle Santa Cruz
Ste 404
Bayamon, PR 00961
Phone (787) 780-2225

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

PMB 742 1353 Ave Luis Vigoreaux
Guaynabo, PR 00966

Mailing address

PMB 742 1353 Ave Luis Vigoreaux
Guaynabo, PR 00966

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 21, 2011.

{
    "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.