Individual provider Active NPI

Carlos Guillermo Del Valle Balaguer, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1245323187
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13173 Issued in PR
Practice address
Calle de Diego Esg Peral
Cordonnes la Palma Suite Ij
Mayaguez, PR 00680
Phone
(787) 831-6242
Fax
(787) 831-6243
NPI assigned
Oct 2, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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 13173 PR Primary

Addresses

Primary practice location

Calle de Diego Esg Peral
Cordonnes la Palma Suite Ij
Mayaguez, PR 00680

Mailing address

1907 Jose Sabater
Paseo Los Robles
Mayaguez, PR 00682
Phone (787) 805-7361

Other names 1

  • Mr. Carlos Guillermo Del Valle Balaguer 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
I20100629000218 PR Practitioner - General Practice 6709917172 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Corp Hospital Metropolitano San German PastSince Jul 5, 2020 Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients
Migrant Health Center, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1245323187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 JOSE SABATER",
            "address_2": "PASEO LOS ROBLES",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-805-7361",
            "fax_number": "787-831-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DE DIEGO ESG PERAL",
            "address_2": "CORDONNES LA PALMA SUITE IJ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-831-6242",
            "fax_number": "787-831-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VALLE BALAGUER",
        "first_name": "CARLOS",
        "middle_name": "GUILLERMO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "DEL VALLE BALAGUER",
            "middle_name": "GUILLERMO",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.