Individual provider Active NPI

Angel R Delvalle Torres, M.D.

  • General Practice Physician
  • Hatillo, PR
National Provider Identifier
1215918651
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13923 Issued in PR
Practice address
189 Ave Dr Susoni
Hatillo, PR 00659
Phone
(787) 898-5019
Fax
(787) 898-4924
NPI assigned
Nov 11, 2005
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13923 PR Primary

Addresses

Primary practice location

189 Ave Dr Susoni
Hatillo, PR 00659

Mailing address

PO Box 1330
Hatillo, PR 00659-1330
Phone (787) 898-5019

Other names 1

  • Dr. Angel R Del Valle Professional name

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
I20120615000092 PR Practitioner - General Practice 5395909790 Reassigns benefits to 1 organization
Practice locations: Hatillo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

189 Ave Dr Susoni
Hatillo, PR 00659-2113
Phone (787) 898-5019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13923PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr del Valle Medical Services LLC General Practice CurrentSince Aug 8, 2023 Accepting new patients

Locations

189 Ave Dr Susoni
Hatillo, PR 00659
Phone (787) 898-5019

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1215918651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591330",
            "telephone_number": "787-898-5019",
            "fax_number": "787-898-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 AVE DR SUSONI",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-898-5019",
            "fax_number": "787-898-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVALLE TORRES",
        "first_name": "ANGEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "DEL VALLE",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hatillo, PR

Sources for this page

Verify at the official NPI Registry.