Luis E Valledor Maeso Sr., MD

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

11711 Issued in PR

Practice address

Bayamon Medical Plaza
Suite 105
Bayamon, PR 00960

Phone

(787) 785-8981

Fax

(787) 780-4866

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Otolaryngology

Education

University of Puerto Rico School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grupo Otorrinolaringologico de PR CSPGroup PAC ID 0547342701, 3 clinicians

Physiotherapy Rehabilitation Services IncGroup PAC ID 0345406187, shared by 2 NPIs, 51 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Grupo Otorrinolaringologico de PR CSP

  • Otolaryngology/Facial Plastic Surgery Physician
  • Bayamon, PR
  • NPI 1396772539
  Medicare reassignment Care Compare group NPD
• Medfacial Surgery LLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Bayamon, PR
  • NPI 1629955604
  NPD
• Condado Otolaryngology PSC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • San Juan, PR
  • NPI 1629031331
  NPD (past)
• Grupo Otorrinolaringologico de PR

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Carolina, PR
  • NPI 1740326677
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1407820657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 CALLE SIERRA MORENA",
            "address_2": "PMB 696",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-785-8981",
            "fax_number": "787-780-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA",
            "address_2": "SUITE 105",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-785-8981",
            "fax_number": "787-780-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Plaza Las Americas",
            "address_2": "Torre De Plaza Suite 907",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00918",
            "country_code": "US",
            "telephone_number": "787-281-1200",
            "fax_number": "787-281-1204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Plaza Carolina Mall",
            "address_2": "Tercer Nivel Suite 11",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00983",
            "country_code": "US",
            "telephone_number": "787-776-1511",
            "fax_number": "787-776-1531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLEDOR MAESO",
        "first_name": "LUIS",
        "middle_name": "E",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "PR",
            "license": "11711",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "PR",
            "license": "11711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuheylian Valentin, LIC.
• Luis R Valenzuela Angueina, MS
• Abel Valle Medina, M.D.
• Daniel Omar Valle, PHARMD
• Lilliam M Valle, RPH
• Fabian Valles, OPTICIAN
• Jose D. Valles, OD
• Giovanni Valls, PHARMD
• Yessika Varela-Santos, PHD
• Zamalid Varela, MSPT

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.