E.Diaz del Valle, MD, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

7077 Issued in PR

Legal business name

E.DIAZ DEL VALLE, MD, LLC

Practice address

Consolidated Mall C 4
Ave Gautier Benitez
Caguas, PR 00725

Phone

(787) 744-9787

Fax

(787) 744-9787

NPI assigned

Feb 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Sanchez

Title

Administrator

Phone

(787) 744-9787

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

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

• Eduardo Diaz del Valle, MD

  • Internal Medicine Physician
  • Caguas, PR
  • NPI 1457339541
  NPD (past)

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1427320563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MALL C 4",
            "address_2": "AVE GAUTIER BENITEZ",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-9787",
            "fax_number": "787-744-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MALL C 4",
            "address_2": "AVE GAUTIER BENITEZ",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-9787",
            "fax_number": "787-744-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.DIAZ DEL VALLE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-744-9787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "7077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED MEDICARE CHOICE",
            "identifier": "3977",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "500210SE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "8667",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "11511",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CARD",
            "identifier": "8667",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dra. Sandra Valcarcel Rivera PSC
• Samadys N Ducoudray, M.D.
• William A Duran, M.D.
• E & R Med Consulting Services
• E. Diaz del Valle MD, LLC
• East Mental Health Group LLC
• Eastern Urology PSC
• Ebatec
• Ecb Humacao LLC
• Mariana C Echenique Arana, DMD

• Exclusive Provider Organization in Caguas, PR
• Providers in Caguas, PR by specialty
• Exclusive Provider Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.