Individual provider Active NPI

Juan N Valentin, M.D.

  • Medical Specialty Clinic/Center
  • San Juan, PR
National Provider Identifier
1154761088
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
19648 Issued in PR
Practice address
Universidad de Puerto Rico Recinto de Ciencias Medicas,
Departamento de PM&R 2DO Piso Oficina A204
San Juan, PR 00936-0001
Phone
(787) 758-2525
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 19648 PR Primary

Addresses

Primary practice location

Universidad de Puerto Rico Recinto de Ciencias Medicas,
Departamento de PM&R 2DO Piso Oficina A204
San Juan, PR 00936-0001

Mailing address

University of Puerto Rico Department of PM&R
Office a- 204 Medical Science Campus
San Juan, PR 00935-0001
Phone (787) 649-0095

Other identifiers 1

IdentifierTypeStateIssuer
4575810OtherDRIVER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208001697 PR Practitioner - Physical Medicine and Rehabilitation 0244597722 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University Central del Caribe Escuela de Medicina, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Arecibo Medical Ctr Building
Suite1 Carr 2 KM 80.1
Arecibo, PR 00612-2753
Phone (787) 880-7411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19648PRMDMedical Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
JVC Rehabilitation Medicine Services LLC Physical Medicine & Rehabilitation Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1154761088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF PUERTO RICO DEPARTMENT OF PM&R",
            "address_2": "OFFICE A- 204 MEDICAL SCIENCE CAMPUS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-649-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSIDAD DE PUERTO RICO RECINTO DE CIENCIAS MEDICAS,",
            "address_2": "DEPARTAMENTO DE PM&R 2DO PISO OFICINA A204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360001",
            "telephone_number": "787-758-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "JUAN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "19648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "4575810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.