Active NPI
Eugenio Rafael Barbosa del Valle, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1437155264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 7776
- Practice address
- 1476 Ave San Ignacio
San Juan, PR 00921-4739 - Phone
- (787) 277-5477
- Fax
- (787) 277-5476
- NPI assigned
- Jun 27, 2005
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 7776 | PR | Primary |
Addresses
Primary practice location
1476 Ave San Ignacio
San Juan, PR 00921-4739
Mailing address
PMB 166, 405 Esmeralda Ave
Ste 2
Guaynabo, PR 00969-4457
Phone (787) 277-5477
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 |
|---|---|---|---|---|
| I20040115000009 | PR | Practitioner - General Practice | 1052212966 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1476 Ave San Ignacio
San Juan, PR 00921-4739
Phone (787) 277-5477
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7776 | PR | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugenio R. Barbosa, MD, PSC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Guaynabo, PR
- NPI 1417347881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696636800000",
"number": "1437155264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 166, 405 ESMERALDA AVE",
"address_2": "STE 2",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694457",
"telephone_number": "787-277-5477",
"fax_number": "787-277-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1476 AVE SAN IGNACIO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009214739",
"telephone_number": "787-277-5477",
"fax_number": "787-277-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBOSA DEL VALLE",
"first_name": "EUGENIO",
"middle_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2023-10-07",
"certification_date": "2023-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "7776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Francisco Javier Barajas Duque, MD
- Julie Ann Baraldi Perez, SLP
- Claudia Sofia Baralt Torres
- Eligio E Barasorda, M.D.
- Barbara Diaz Hernandez MD Research Inc
- Barbosa Dental Clinic CSP
- Kamila M Barbosa Leon, SRNA
- Ariel Enrique Barbosa Ruiz
- Jose A Barcelo Frontera, M.D.
- Roberto Carlos Barletta Farias, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; 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.