Individual provider Active NPI

Eddy Luis Diaz Valero Sr., CHIROPRACTOR

  • Chiropractor
  • Caguas, PR
National Provider Identifier
1265560718
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
#325 Issued in PR
Practice address
Urb Terralinda
8 Calle Cordova
Caguas, PR 00727-2517
Phone
(787) 746-5433
Fax
(787) 746-5433
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X #325 PR Primary

Addresses

Primary practice location

Urb Terralinda
8 Calle Cordova
Caguas, PR 00727-2517

Mailing address

Urb Terralinda
8 Calle Cordova
Caguas, PR 00727-2517
Phone (787) 746-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815000487 PR Practitioner - Chiropractic 0840527719 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Calle Cordova
Caguas, PR 00727-2517
Phone (787) 286-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
#325PRMDChiropractor
000325PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Essentials Chiropractic Center Chiropractor CurrentSince Jul 7, 2024 Accepting new patients

Locations

8 Calle Cordova
Caguas, PR 00727
Phone (787) 286-1700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1265560718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB TERRALINDA",
            "address_2": "8 CALLE CORDOVA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272517",
            "telephone_number": "787-746-5433",
            "fax_number": "787-746-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB TERRALINDA",
            "address_2": "8 CALLE CORDOVA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272517",
            "telephone_number": "787-746-5433",
            "fax_number": "787-746-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ VALERO",
        "first_name": "EDDY",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "#325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.