Individual provider Active NPI

Pedro A Valentin Buscamper, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1164086823
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22054 Issued in PR
Practice address
Carr 843 KM 9.3
Caminos Los Aponte
San Juan, PR 00926-0001
Phone
(787) 525-4477
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 22054 PR Primary

Addresses

Primary practice location

Carr 843 KM 9.3
Caminos Los Aponte
San Juan, PR 00926-0001

Mailing address

RR 36 Box 8165
San Juan, PR 00926-9963

Other practice location 1

550 Calle Sergio Cuevas Bustamante
Avenida Domenech
Hato Rey, PR 00918
Phone (787) 758-8383 ext. 8494

Other practice location 2

332 Ave Font Martelo
Humacao, PR 00791-3229
Phone (787) 266-8423

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
I20210201002617 PR Practitioner - General Practice 4385058478 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Juan, PR 00926
Phone (787) 525-4477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22054PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc General Practice CurrentSince Feb 26, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 26, 2021 Accepting new patients
Ryder Memorial Hospital Inc Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

3 Calle Font Martelo E
Humacao, PR 00791
Phone (787) 656-2427

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1164086823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 36 BOX 8165",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 843 KM 9.3",
            "address_2": "CAMINOS LOS APONTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260001",
            "telephone_number": "787-525-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Calle Sergio Cuevas Bustamante",
            "address_2": "Avenida Domenech",
            "address_purpose": "LOCATION",
            "city": "Hato Rey",
            "state": "PR",
            "postal_code": "00918",
            "country_code": "US",
            "telephone_number": "787-758-8383 x8494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 Ave Font Martelo",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007913229",
            "country_code": "US",
            "telephone_number": "787-266-8423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTIN BUSCAMPER",
        "first_name": "PEDRO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.