Individual provider Active NPI

Raul Del Valle Arroyo, MD

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1417514365
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21335 Issued in PR
Practice address
110 Calle Luis Venegas N
Guayama, PR 00784-4344
Phone
(939) 208-8628
NPI assigned
May 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21335 PR Primary

Addresses

Primary practice location

110 Calle Luis Venegas N
Guayama, PR 00784-4344

Mailing address

HC 2 Box 4662
Guayama, PR 00784-8515
Phone (939) 208-8628

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
I20190730001708 PR Practitioner - General Surgery 5890021729 Reassigns benefits to 2 organizations
Practice locations: Guayama, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21335PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrate Community Health System Current Accepting new patients
Integrate Community Health System CurrentSince Aug 1, 2020 Accepting new patients
Integrate Community Health System, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Sur-Med Medical Corp CurrentSince Dec 31, 2019 Accepting new patients
Sur-Med Medical Corp. CurrentSince Dec 31, 2019 Accepting new patients

Locations

8 Calle Colon Pacheco
Salinas, PR 00751
Phone (787) 824-1100

Organizations & group practices 5

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1417514365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 4662",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007848515",
            "telephone_number": "939-208-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CALLE LUIS VENEGAS N",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007844344",
            "telephone_number": "939-208-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VALLE ARROYO",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.