Active NPI
Priscilla Vallejo
- Registered Nurse
- Caguas, PR
National Provider Identifier
1093203051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 73369
- Practice address
- Villa Blanca Apartments Avenida Luis Munos Marin
Buzon 408 Apto G-204
Caguas, PR 00725-0000 - Phone
- (787) 410-0327
- NPI assigned
- Apr 25, 2018
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 73369 | PR | Primary |
Addresses
Primary practice location
Villa Blanca Apartments Avenida Luis Munos Marin
Buzon 408 Apto G-204
Caguas, PR 00725-0000
Mailing address
Villa Blanca Apartments Avenida Luis Munos Marin
Buzon 408 Apto G-204
Caguas, PR 00725
Phone (787) 410-0327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4748218 | Other | PR | OPERATOR CONDUCTOR |
| 80023019120 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73369 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1093203051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLA BLANCA APARTMENTS AVENIDA LUIS MUNOS MARIN",
"address_2": "BUZON 408 APTO G-204",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-410-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VILLA BLANCA APARTMENTS AVENIDA LUIS MUNOS MARIN",
"address_2": "BUZON 408 APTO G-204",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007250000",
"telephone_number": "787-410-0327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEJO",
"first_name": "PRISCILLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "73369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPERATOR CONDUCTOR",
"identifier": "4748218",
"state": "PR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80023019120",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
- Ramsis Omar Valle Ripoll, MD
- Valle Tolima Dental Care LLC
- Nicole Valle
- Ricardo Vallejo Rivera, M.D.
- Carlos E Vallejo-Bennett, M.D.
- Carmen Ana Valles Santiago, M.D.
- Valles Y Diaz Doctores En Medicina Y Neumologia C.S.P (Pulmonologos de Puerto Rico Valles Diaz)
- Jose A Valles, MD
- Valley Medical Distributors (Valley Medical & Hospital Supplies)
- Edgardo Enrique Varela, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.