Active NPI
Antonio I Del Valle, M.D.
- Pediatric Gastroenterology Physician
- San Juan, PR
National Provider Identifier
1528092145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 12677
- Practice address
- Department of Pediatrics
University Pediatrics Hospital, Office 1 a 29
San Juan, PR 00936-5067 - Phone
- (787) 756-4020
- Fax
- (787) 777-3227
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 12677 | PR | Primary |
Addresses
Primary practice location
Department of Pediatrics
University Pediatrics Hospital, Office 1 a 29
San Juan, PR 00936-5067
Mailing address
253 Calle Sierra Morena
Suite 157
San Juan, PR 00926-5539
Phone (787) 756-4020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12677 | PR | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antonio I. del Valle-Segarra | Pediatric Gastroenterology | 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.
-
- Pediatric Gastroenterology Physician
- San Juan, PR
- NPI 1861528861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1528092145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 CALLE SIERRA MORENA",
"address_2": "SUITE 157",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265539",
"telephone_number": "787-756-4020",
"fax_number": "787-777-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF PEDIATRICS",
"address_2": "UNIVERSITY PEDIATRICS HOSPITAL, OFFICE 1 A 29",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009365067",
"telephone_number": "787-756-4020",
"fax_number": "787-777-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL VALLE",
"first_name": "ANTONIO",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "PR",
"license": "12677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.