Active NPI
Ma Del Carmen Valdes Bracamontes
- Student in an Organized Health Care Education/Training Program
- Hershey, PA
National Provider Identifier
1114448263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 500 University Dr
Hershey, PA 17033-2360 - Phone
- (717) 531-8521
- NPI assigned
- Jun 29, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | Primary | |
| Independent Medical Examiner Physician | 202C00000X | 021100 | PR |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-2360
Mailing address
500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8521
Other practice location 1
Carretera 2 KM 141.1
18 Ave Severiano Cuevas Caimital B
Aguadilla, PR 00603
Phone (787) 658-0000
Other practice location 2
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-8867
Other practice location 3
8900 Van Wyck Expy
Jamaica, NY 11418-2897
Phone (718) 206-6768
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 |
|---|---|---|---|
| 021100 | PR | MD | Independent Medical Examiner Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1114448263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-8521"
}
],
"practiceLocations": [
{
"address_1": "CARRETERA 2 KM 141.1",
"address_2": "18 AVE SEVERIANO CUEVAS CAIMITAL B",
"address_purpose": "LOCATION",
"city": "Aguadilla",
"state": "PR",
"postal_code": "00603",
"country_code": "US",
"telephone_number": "787-658-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-8867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8900 Van Wyck Expy",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114182897",
"country_code": "US",
"telephone_number": "718-206-6768",
"fax_number": "718-206-6651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALDES BRACAMONTES",
"first_name": "MA",
"middle_name": "DEL CARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "PR",
"license": "021100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.