Organization Active NPI

Dr del Valle Medical Services LLC

  • General Practice Physician
  • Hatillo, PR
National Provider Identifier
1538859517
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DR DEL VALLE MEDICAL SERVICES LLC
Practice address
189 Ave Dr Susoni
Hatillo, PR 00659-2113
Phone
(787) 898-5019
Fax
(787) 898-4924
NPI assigned
May 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Dr. Angel R Del Valle Torres, MDNPI 1215918651
Title
President/Treasurer
Phone
(787) 403-0493

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

189 Ave Dr Susoni
Hatillo, PR 00659-2113

Mailing address

PO Box 1330
Hatillo, PR 00659-1330
Phone (787) 898-5019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230904000057 PR Part B Supplier - Clinic/Group Practice 0244693588 Receives reassigned benefits from 1 practitioner
Practice locations: Hatillo, PR

National Provider Directory

National Provider Directory

Locations

189 Ave Dr Susoni
Hatillo, PR 00659
Phone (787) 898-5019

Practitioners & affiliated clinicians

Practitioners 1

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": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1538859517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591330",
            "telephone_number": "787-898-5019",
            "fax_number": "787-898-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 AVE DR SUSONI",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006592113",
            "telephone_number": "787-898-5019",
            "fax_number": "787-898-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DEL VALLE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE TORRES",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "787-403-0493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.