Individual provider Active NPI

Rafael Alejandro Del Valle Diaz, MD

  • Family Medicine Physician
  • Utuado, PR
National Provider Identifier
1487130357
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21017 Issued in PR
Practice address
418 Calle Sargento Israel Malaret Juarbe
Utuado, PR 00641-3010
Phone
(787) 894-5919
NPI assigned
Jul 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21017 PR Primary

Addresses

Primary practice location

418 Calle Sargento Israel Malaret Juarbe
Utuado, PR 00641-3010

Mailing address

PO Box 730
Utuado, PR 00641-0730
Phone (787) 385-7001

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
I20181220001573 PR Practitioner - Family PracticePractitioner - General Practice 7315282266 Practice locations: Utuado, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 Calle Dr Cueto
Utuado, PR 00641-2910
Phone (787) 894-5919

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Ophthalmology Associates 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.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1487130357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006410730",
            "telephone_number": "787-385-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CALLE SARGENTO ISRAEL MALARET JUARBE",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006413010",
            "telephone_number": "787-894-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VALLE DIAZ",
        "first_name": "RAFAEL",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "21017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

Verify at the official NPI Registry.