Active NPI
Carlos Guillermo Del Valle Balaguer, M.D.
- General Practice Physician
- Mayaguez, PR
National Provider Identifier
1245323187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 13173
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health Corp Hospital Metropolitano San German | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Mayaguez, PR
- NPI 1609969286
-
- Radiology Clinic/Center
- Las Marias, PR
- NPI 1508453051
-
- Managed Care Organization Pharmacy
- San Sebastian, PR
- NPI 1851502710
-
- Emergency Care Clinic/Center
- Sabana Grande, PR
- NPI 1174140586
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.