Individual provider Active NPI

Daniel E. Valle, M.D.

  • Diagnostic Radiology Physician
  • Mayaguez, PR
National Provider Identifier
1295851863
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13458 Issued in PR
Practice address
975 Ave Hostos Ste 2220
Mayaguez, PR 00680-1257
Phone
(787) 806-2900
Fax
(787) 806-2226
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 13458 PR Primary

Addresses

Primary practice location

975 Ave Hostos Ste 2220
Mayaguez, PR 00680-1257

Mailing address

975 Ave Hostos Ste 2220
Mayaguez, PR 00680-1257
Phone (787) 806-2900

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
I20050831000183 PR Practitioner - Diagnostic Radiology 2466484357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

975 Ave Hostos
Mayaguez, PR 00680-1251
Phone (787) 806-2900

975 Ave Hostos Mayaguez Mall
Suite 2220
Mayaguez, PR 00680-1257

975 Hostos Ave
Mayaguez Mall Suite 2220
Mayaguez, PR 00680-1251

975 Hostos Ave
Mayaguez Mall Suite 2220
Mayaguez, FL 00680-1257

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13458PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Imaging, PSC Diagnostic Radiology CurrentSince Jul 29, 2005 Accepting new patients
Serv Emerg del Noroeste Past Accepting new patients
Hospital de la Concepcion Inc Past Accepting new patients

Locations

975 Ave Hostos
Ste 2220
Mayaguez, PR 00680
Phone (787) 806-2900

Organizations & group practices 3

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1295851863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 AVE HOSTOS STE 2220",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801257",
            "telephone_number": "787-806-2900",
            "fax_number": "787-806-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 AVE HOSTOS STE 2220",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801257",
            "telephone_number": "787-806-2900",
            "fax_number": "787-806-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "DANIEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "13458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.