Organization Active NPI

Valle Medical Office PSC

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1225257710
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16009 Issued in PR
Legal business name
VALLE MEDICAL OFFICE PSC
Practice address
136 Bda Caban
Aguadilla, PR 00603-9465
Phone
(787) 997-1111
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Daritza Sanchez Santana
Title
Facturadora
Phone
(787) 314-3431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 16009 PR Primary

Addresses

Primary practice location

136 Bda Caban
Aguadilla, PR 00603-9465

Mailing address

136 Bda Caban
Aguadilla, PR 00603-9465
Phone (787) 997-1111

Other identifiers 1

IdentifierTypeStateIssuer
23314OtherPRMEDICARE PTAN

Other names 1

  • PROFFESIONAL SERVICES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151104001530 PR Part B Supplier - Clinic/Group Practice 6608186564 Receives reassigned benefits from 1 practitioner
Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory

Locations

136 Carr 459
Aguadilla, PR 00603
Phone (787) 997-1111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1225257710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BDA CABAN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039465",
            "telephone_number": "787-997-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BDA CABAN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039465",
            "telephone_number": "787-997-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLE MEDICAL OFFICE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "DARITZA",
        "authorized_official_middle_name": "SANCHEZ",
        "authorized_official_title_or_position": "FACTURADORA",
        "authorized_official_telephone_number": "787-314-3431"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "16009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "23314",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFFESIONAL SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.