Mircia Alexandra Vallenilla Marte, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17718 Issued in PR

Practice address

Calle Pimentel Y Castro 200
CDT Rio Grande
Rio Grande, PR 00745

Phone

(787) 769-2092

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Neomed Center, Inc

  dba NeoMed Center-OPD Gurabo

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334
  Medicare reassignment Care Compare group NPD
• Neomed Center, Inc

  dba Neomed Center-GU-Laboratory

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  NPD
• Neomed Center, Inc.

  dba NeoMed Center - Gurabo Urgent Care

  • Urgent Care Clinic/Center
  • Gurabo, PR
  • NPI 1912384678
  NPD
• Municipio de Rio Grande

  • Emergency Care Clinic/Center
  • Rio Grande, PR
  • NPI 1619188257
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1487886727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ROLLING HILLS",
            "address_2": "CALLE SAN LUIS #EE130",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877035",
            "telephone_number": "787-769-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PIMENTEL Y CASTRO 200",
            "address_2": "CDT RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-769-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLENILLA MARTE",
        "first_name": "MIRCIA",
        "middle_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ulises Melendez Toledo, M.D.
• Mildred Tolentino
• Ana Daisy Torres Ramos, RN
• Deborah L Torres
• Carmen Maria Valcarcel, MSW
• Migna L Vargas
• Rosa Vazquez Vazquez, RN
• Vde Medical PC
• Eliana M Velazquez
• Manuel Velez Ithier III, M.D.

• General Practice Physician in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.

Verify at the official NPI Registry.