Individual provider Active NPI

Vanessa Valles Ortiz, DMD

  • Dentist
  • San Sebastian, PR
National Provider Identifier
1538201934
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1542 Issued in PR
Practice address
Migrant Health Center, Inc.
119 Carr KM 35.2 Bo Piedras Blancas
San Sebastian, PR 00685
Phone
(787) 896-1665
Fax
(787) 896-4570
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1542 PR Primary

Addresses

Primary practice location

Migrant Health Center, Inc.
119 Carr KM 35.2 Bo Piedras Blancas
San Sebastian, PR 00685

Mailing address

Migrant Health Center, Inc.
P O Box 7128
Mayaguez, PR 00681-7128
Phone (787) 805-2900

Other identifiers 1

IdentifierTypeStateIssuer
1264OtherPRNUM COLEGIADO

Other names 1

  • Dr. Vanessa Valles Ortiz Other name

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222000035 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668773482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1542PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538201934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIGRANT HEALTH CENTER, INC.",
            "address_2": "P O BOX 7128",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006817128",
            "telephone_number": "787-805-2900",
            "fax_number": "787-834-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIGRANT HEALTH CENTER, INC.",
            "address_2": "119 CARR KM 35.2 BO PIEDRAS BLANCAS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-1665",
            "fax_number": "787-896-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "VANESSA",
        "middle_name": "VALLES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUM COLEGIADO",
            "identifier": "1264",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "ORTIZ",
            "middle_name": "VALLES",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.