Active NPI
Neurology HD, PSC
- Neurology Physician
- Guaynabo, PR
National Provider Identifier
1083981971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 17094
- 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 Valle
- 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.
-
- Neurology Physician
- Bayamon, PR
- NPI 1467573204
-
- Family Medicine Physician
- Columbus, NJ
- NPI 1669488375
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 17094 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary 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.