Individual provider Active NPI

Horacio Fernando Daubon del Valle, M.D.

  • Neurology Physician
  • Bayamon, PR
National Provider Identifier
1467573204
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
017094 Issued in PR
Practice address
73 Calle Santa Cruz
Edif. Medico Santa Cruz Suite 404
Bayamon, PR 00961-6910
Phone
(787) 780-2225
Fax
(787) 798-1076
NPI assigned
Apr 2, 2007
Last updated
Sep 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 017094 PR Primary

Addresses

Primary practice location

73 Calle Santa Cruz
Edif. Medico Santa Cruz Suite 404
Bayamon, PR 00961-6910

Mailing address

PMB 742 1353 Ave Luis Vigoreaux
Guaynabo, PR 00966
Phone (787) 232-9802

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
I20091001000243 PR Practitioner - NeurologyPractitioner - Other (Physician) 2264578475 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Rehabilitation Services IncGroup PAC ID 0345406187, shared by 2 NPIs, 51 clinicians

Practice addresses (Care Compare)

Edificio Medico Sta Cruz
404 Calle Sta Cruz 73
Bayamon, PR 00961-9998
Phone (787) 780-2225

Uu43 Calle
Suite 30
Bayamon, PR 00956-4701
Phone (787) 787-8669

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017094PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology HD, PSC Neurology CurrentSince Mar 31, 2012 Accepting new patients
CDT G.M,S.P., Inc CurrentSince Sep 30, 2014 Accepting new patients
CDT GMSP Inc CurrentSince Sep 30, 2014 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Dec 30, 2009 Accepting new patients
CDT GMSP, Inc Current Accepting new patients
Centro Medico del Turabo Inc CurrentSince Dec 30, 2009 Accepting new patients
HD Neurology LLC Neurology Past Accepting new patients

Locations

B7 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 780-9191

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

1353 Ave Luis Vigoreaux
Guaynabo, PR 00966

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1467573204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 742 1353 AVE LUIS VIGOREAUX",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-232-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CALLE SANTA CRUZ",
            "address_2": "EDIF. MEDICO SANTA CRUZ SUITE 404",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-780-2225",
            "fax_number": "787-798-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUBON DEL VALLE",
        "first_name": "HORACIO",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "017094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.