Organization Active NPI

Valles Y Diaz Doctores En Medicina Y Neumologia C.S.P

  • Pulmonary Disease Physician
  • Caguas, PR
National Provider Identifier
1538146386
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
VALLES Y DIAZ DOCTORES EN MEDICINA Y NEUMOLOGIA C.S.P
Doing business as
Pulmonologos de Puerto Rico Valles Diaz
Practice address
Avenida Degetau 500
Torre Hima Plaza 5to Piso Suite 503-504
Caguas, PR 00725
Phone
(787) 744-4499
Fax
(787) 746-2454
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Dr. Jose A Valles, MDNPI 1730309915
Title
President
Phone
(787) 744-4499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

Avenida Degetau 500
Torre Hima Plaza 5to Piso Suite 503-504
Caguas, PR 00725

Mailing address

PO Box 974
Caguas, PR 00726-0974
Phone (787) 744-4499

Other identifiers 1

IdentifierTypeStateIssuer
20385OtherPRTRIPLE S

Other names 1

  • Pulmonologos de Puerto Rico Valles Diaz Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121029000534 PR Part B Supplier - Clinic/Group Practice 3779733761 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Locations

500 Ave Degetau
Ste 503504
Caguas, PR 00725
Phone (787) 703-1525

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1538146386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260974",
            "telephone_number": "787-744-4499",
            "fax_number": "787-746-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA DEGETAU 500",
            "address_2": "TORRE HIMA PLAZA 5TO PISO SUITE 503-504",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-4499",
            "fax_number": "787-746-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLES Y DIAZ DOCTORES EN MEDICINA Y NEUMOLOGIA C.S.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "VALLES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-744-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "20385",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonologos de Puerto Rico Valles Diaz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.