Active NPI
Magda Valle
- Pharmacist
- Guaynabo, PR
National Provider Identifier
1104112796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4470
- Practice address
- 25 Ave Ponce de Leon
Guaynabo, PR 00965-5607 - Phone
- (787) 782-1798
- NPI assigned
- Jun 22, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4470 | PR | Primary |
Addresses
Primary practice location
25 Ave Ponce de Leon
Guaynabo, PR 00965-5607
Mailing address
25 Ave Ponce de Leon
Guaynabo, PR 00965-5607
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 |
|---|---|---|---|
| 4470 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1104112796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 AVE PONCE DE LEON",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009655607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 AVE PONCE DE LEON",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009655607",
"telephone_number": "787-782-1798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLE",
"first_name": "MAGDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4470",
"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 Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.