Organization Active NPI

Dr. Marco a. del Valle, Oficina Dental CSP

  • Dental Clinic/Center
  • Aguada, PR
National Provider Identifier
1366835282
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1828 Issued in PR
Legal business name
DR. MARCO A. DEL VALLE, OFICINA DENTAL CSP
Practice address
51 Calle Estacion
Aguada, PR 00602-3247
Phone
(787) 868-7770
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Dr. Marco Antonio Del Valle, D.D.SNPI 1982741906
Title
General Dentis
Phone
(787) 868-7770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1828 PR Primary

Addresses

Primary practice location

51 Calle Estacion
Aguada, PR 00602-3247

Mailing address

PO Box 835
Aguada, PR 00602-0835
Phone (787) 868-7770

Other identifiers 1

IdentifierTypeStateIssuer
2073OtherPRPUERTO RICO DEPARTMENT OF STATE

National Provider Directory

National Provider Directory

Locations

51 Calle Estacion
Aguada, PR 00602
Phone (787) 868-7770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1366835282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020835",
            "telephone_number": "787-868-7770",
            "fax_number": "787-868-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CALLE ESTACION",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023247",
            "telephone_number": "787-868-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARCO A. DEL VALLE, OFICINA DENTAL CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "GENERAL DENTIS",
        "authorized_official_telephone_number": "787-868-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "1828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO DEPARTMENT OF STATE",
            "identifier": "2073",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.