Active NPI
Valle Medical Office PSC
- General Practice Physician
- Aguadilla, PR
National Provider Identifier
1225257710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16009
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23314 | Other | PR | MEDICARE PTAN |
Other names 1
- PROFFESIONAL SERVICES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction Medicine (Family Medicine) Physician
- Aguadilla, PR
- NPI 1033186481
General Practice
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.