NPIMap

Organization Active NPI

Rene C del Valle MD PLLC

  • Obstetrics & Gynecology Physician
  • Manchester, TN
National Provider Identifier
1528150596
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD017200 Issued in TN
Legal business name
RENE C DEL VALLE MD PLLC
Practice address
1615 McMinnville Hwy
Manchester, TN 37355-3179
Phone
(931) 450-5062
Fax
(931) 450-5063
NPI assigned
Sep 28, 2006
Last updated
Mar 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Dr. Rene C Del Valle, MDNPI 1679593024
Title
Owner MD
Phone
(931) 450-5062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD017200 TN Primary

Addresses

Primary practice location

1615 McMinnville Hwy
Manchester, TN 37355-3179

Mailing address

PO Box 389
McMinnville, TN 37111-0389
Phone (931) 450-5062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1528150596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371110389",
            "telephone_number": "931-450-5062",
            "fax_number": "931-450-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MCMINNVILLE HWY",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553179",
            "telephone_number": "931-450-5062",
            "fax_number": "931-450-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE C DEL VALLE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "931-450-5062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD017200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.