Individual provider Active NPI

Rogelio Fernando Del Valle Valladares, MD

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1497486484
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1514 Issued in FL
Practice address
13305 N 56TH St
Tampa, FL 33617-1161
Phone
(813) 988-1101
Fax
(813) 989-3899
NPI assigned
Jun 21, 2022
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022696 PR
General Practice Physician 208D00000X ACN1514 FL Primary

Addresses

Primary practice location

13305 N 56TH St
Tampa, FL 33617-1161

Mailing address

PO Box 850001, Dept 8340
Orlando, FL 32885-0001
Phone (813) 536-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230515002440 FL Practitioner - General Practice 8426414582 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022696PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of North Florida, Inc General Practice Current Accepting new patients
Pathways Clinical Partners, LLC CurrentSince Jan 10, 2025 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Apr 20, 2023 Accepting new patients
American Care of North Florida, Inc General Practice CurrentSince Apr 2, 2025 Accepting new patients
American Care of North Florida, Inc General Practice CurrentSince Apr 2, 2025 Accepting new patients
Professional Health Care of Pinellas LLC General Practice CurrentSince Apr 20, 2023 Accepting new patients
Visiting Nurse Services of Central Florida LLC CurrentSince Nov 18, 2025 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

1918 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-6954

1031 W Magnolia St
Leesburg, FL 34748
Phone (352) 315-0459

5307 Main St
New Port Richey, FL 34652
Phone (727) 207-7108

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1497486484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001, DEPT 8340",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "813-536-7277",
            "fax_number": "855-830-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171161",
            "telephone_number": "813-988-1101",
            "fax_number": "813-989-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VALLE VALLADARES",
        "first_name": "ROGELIO",
        "middle_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022696",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.