Individual provider Active NPI

Jose Juan Acevedo-Valles, MD

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1215933916
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13856 Issued in PR
Practice address
1492 Ave Ponce de Leon # 500
San Juan, PR 00907-4012
Phone
(787) 723-5017
Fax
(787) 723-5015
NPI assigned
Jun 27, 2005
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13856 PR Primary

Addresses

Primary practice location

1492 Ave Ponce de Leon # 500
San Juan, PR 00907-4012

Mailing address

PO Box 11577
San Juan, PR 00910-2677
Phone (787) 710-7109

Other practice location 1

calle san antonio #22
sur
guayama, PR 00784
Phone (787) 772-9109

Other practice location 2

1492 Ave Ponce De Leon Ste 717
San Juan, PR 00907-4024
Phone (787) 723-5017

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
I20050628000342 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3577508720 Practice locations: San Juan, PR; Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1492 Ave Ponce de Leon
Edif. Centro Europa 717
San Juan, PR 00907
Phone (787) 723-5017

C4 Calle B
Suite 222
Guayama, PR 00784-5956
Phone (787) 864-3311

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiomed LLC Cardiovascular Disease PastSince Jun 15, 2015 Accepting new patients
Cardiovascular Healthcare LLC Cardiovascular Disease PastSince Jun 7, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jose.acevedovalles@3390.securemail.prognocis.com

Organizations & group practices 2

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.

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1215933916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11577",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009102677",
            "telephone_number": "787-710-7109",
            "fax_number": "787-723-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 AVE PONCE DE LEON # 500",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074012",
            "telephone_number": "787-723-5017",
            "fax_number": "787-723-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "calle san antonio #22",
            "address_2": "sur",
            "address_purpose": "LOCATION",
            "city": "guayama",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-772-9109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1492 Ave Ponce De Leon Ste 717",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009074024",
            "country_code": "US",
            "telephone_number": "787-723-5017",
            "fax_number": "787-723-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEVEDO-VALLES",
        "first_name": "JOSE",
        "middle_name": "JUAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "13856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.