Organization Active NPI

VPS Medical Group LLC

  • Emergency Medicine Physician
  • San Juan, PR
National Provider Identifier
1144785841
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
VPS MEDICAL GROUP LLC
Practice address
1396 Calle San Rafael
Medical Pavilion Suite 15
San Juan, PR 00909
Phone
(787) 590-8584
Fax
(939) 715-1061
NPI assigned
Feb 6, 2019
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Alfred Valdivieso Rodriguez, MD
Title
President
Phone
(787) 590-8584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

1396 Calle San Rafael
Medical Pavilion Suite 15
San Juan, PR 00909

Mailing address

1341 Calle Aldea Apt TH5
San Juan, PR 00907-2321
Phone (787) 590-8584

Other identifiers 1

IdentifierTypeStateIssuer
421650OtherPRREGISTER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1144785841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 CALLE ALDEA APT TH5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072321",
            "telephone_number": "787-590-8584",
            "fax_number": "787-254-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 CALLE SAN RAFAEL",
            "address_2": "MEDICAL PAVILION SUITE 15",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-590-8584",
            "fax_number": "939-715-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VPS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "VALDIVIESO RODRIGUEZ",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-590-8584",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTER NUMBER",
            "identifier": "421650",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.