Active NPI
Juan Rodriguez del Valle, MD
- Neurology Physician
- San Juan, PR
National Provider Identifier
1396708947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2497
- Practice address
- 52 Calle Mayaguez
Urbanizacion Perez Morris
San Juan, PR 00917-4915 - Phone
- (787) 764-0473
- Fax
- (787) 764-0482
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2497 | PR | Primary |
Addresses
Primary practice location
52 Calle Mayaguez
Urbanizacion Perez Morris
San Juan, PR 00917-4915
Mailing address
P O Box 361798
San Juan, PR 00936-1798
Phone (787) 294-0812
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100520000979 | PR | Practitioner - Neurology | 3173517067 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2497 | PR | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1396708947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 361798",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009361798",
"telephone_number": "787-294-0812",
"fax_number": "787-294-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 CALLE MAYAGUEZ",
"address_2": "URBANIZACION PEREZ MORRIS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009174915",
"telephone_number": "787-764-0473",
"fax_number": "787-764-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ DEL VALLE",
"first_name": "JUAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "2497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Yessenia Rodriguez Cosme, M.D.
- Edwin Rodriguez Cruz
- Ruben Rodriguez Cruz
- Smailen Rodriguez Cueto, MD
- Veronica Rodriguez de la Cruz, M.D.
- John Matthew Rodriguez Diaz
- Esther Rodriguez Dominguez, PRACTICAL NURSE
- Jose Victor Rodriguez Escanellas, M.D.
- Hector R Rodriguez Fernandez Sr.
- Jan Rodriguez Ferrer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.