Endomed LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

18108 Issued in PR

Legal business name

ENDOMED LLC

Practice address

655 Calle Europa, Edif Chinea
Oficina 201
San Juan, PR 00909-0090

Phone

(787) 727-8295

Fax

(787) 727-1735

NPI assigned

Apr 19, 2017

Last updated

Nov 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dalitza M Alvarez Valentin, M.DNPI 1225325574

Title

President

Phone

(787) 315-5170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dalitza M Alvarez Valentin, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Juan, PR
  • NPI 1225325574
  Medicare reassignment Authorized official
• Vilma Rabell Vilches, MD

  • Specialist
  • San Juan, PR
  • NPI 1891734612
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1295269900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192485",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192485",
            "telephone_number": "787-315-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CALLE EUROPA, EDIF CHINEA",
            "address_2": "OFICINA 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009090090",
            "telephone_number": "787-727-8295",
            "fax_number": "787-727-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BS4 Ave Las Americas",
            "address_2": "Urb Bairoa",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00917",
            "country_code": "US",
            "telephone_number": "787-946-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDOMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ VALENTIN",
        "authorized_official_first_name": "DALITZA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-315-5170",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "18108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.