Active NPI
Eduardo Diaz del Valle, MD
- Internal Medicine Physician
- Caguas, PR
National Provider Identifier
1457339541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 7077
- Practice address
- Consolidated Mall C 4
Avenida Gautier Benitez
Caguas, PR 00725 - Phone
- (787) 744-9787
- Fax
- (787) 744-9787
- NPI assigned
- Jan 9, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7077 | PR | Primary |
Addresses
Primary practice location
Consolidated Mall C 4
Avenida Gautier Benitez
Caguas, PR 00725
Mailing address
PO Box 8398
Caguas, PR 00726-8398
Phone (787) 743-6177
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826097 | Other | PR | MEDICARE Y MUCHO MAS |
| 68595 | Other | PR | LA CRUZ AZUL |
| 98601 | Other | PR | MEDICARE OPTIMA |
| 212171 | Other | PR | PREFERED HEALTH |
| 8667 | Other | PR | FIRST MEDICAL |
| 98601 | Other | PR | TRIPLE S |
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 |
|---|---|---|---|---|
| I20050204000015 | PR | Practitioner - Internal Medicine | 5991756249 | Practice locations: Caguas, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University Central del Caribe Escuela de Medicina, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Ave Gautier Benitez
Consolidated Mall C 4
Caguas, PR 00725
Phone (787) 744-9787
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7077 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E.Diaz del Valle, MD, LLC | 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.
-
- Exclusive Provider Organization
- Caguas, PR
- NPI 1427320563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1457339541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8398",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007268398",
"telephone_number": "787-743-6177",
"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": "AVENIDA GAUTIER BENITEZ",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-744-9787",
"fax_number": "787-744-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ DEL VALLE",
"first_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "7077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "826097",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL",
"identifier": "68595",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OPTIMA",
"identifier": "98601",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED HEALTH",
"identifier": "212171",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "8667",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "98601",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.