Jackeline Valdes-Monge, JACKELINE VALDES

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13199 Issued in PR

Practice address

Ave Luis Munoz Rivera
Hosp Auxilio Mutuo, Dep Medicina Interna
San Juan, PR 00919-1227

Phone

(787) 758-2000

NPI assigned

Oct 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1376895078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191227",
            "address_2": "HOSP AUXILIO MUTUO, DEP MEDICINA INTERNA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LUIS MUNOZ RIVERA",
            "address_2": "HOSP AUXILIO MUTUO, DEP MEDICINA INTERNA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES-MONGE",
        "first_name": "JACKELINE",
        "name_prefix": "Dr.",
        "credential": "JACKELINE VALDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Georgina Valcarcel-Mercado, M.D.
• Carlos Rafael Valcarcel, PH.D.
• Michael Abner Valcarcel
• Jose L. Valderrabano, M.D.
• Jose Valdes -Fernandez, MD
• Neyda Valdes
• Noelia Beatriz Valdes
• Graldys Valdez, RN
• Yeira Valdez, DR
• Alfred Valdivieso, MD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.

Verify at the official NPI Registry.