Individual provider Active NPI

Charmaine Marie Perez-del Valle, M.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1144201179
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14648 Issued in PR
Practice address
754 Valle del Toa
Los Campos de Montehiedra
San Juan, PR 00926-7032
Phone
(787) 708-1761
Fax
(787) 641-4561
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14648 PR Primary

Addresses

Primary practice location

754 Valle del Toa
Los Campos de Montehiedra
San Juan, PR 00926-7032

Mailing address

754 Valle del Toa
Los Campos de Montehiedra
San Juan, PR 00926-7032
Phone (787) 708-1761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1144201179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 VALLE DEL TOA",
            "address_2": "LOS CAMPOS DE MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267032",
            "telephone_number": "787-708-1761",
            "fax_number": "787-641-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 VALLE DEL TOA",
            "address_2": "LOS CAMPOS DE MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267032",
            "telephone_number": "787-708-1761",
            "fax_number": "787-641-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-DEL VALLE",
        "first_name": "CHARMAINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.