Active NPI
Pedro F. Matias Valladares, M.D.
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1598710998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9774
- Practice address
- Edificio Galeria Medica
64 Ave Santa Cruz Suite 106
Bayamon, PR 00961-7003 - Phone
- (787) 785-6506
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9774 | PR | Primary |
Addresses
Primary practice location
Edificio Galeria Medica
64 Ave Santa Cruz Suite 106
Bayamon, PR 00961-7003
Mailing address
PO Box 1164
Gurabo, PR 00778-1164
Phone (787) 258-6936
Other practice location 1
Est Del Blvd
San Juan, PR 00926-9570
Phone (787) 852-1400 ext. 6228
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251029000042 | PR | Practitioner - General Practice | 4880100346 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Edificio Galeria Medica 64 Ave Santa
Suite 106
Bayamon, PR 00096-7003
Phone (787) 785-6506
PO Box
Caguas, PR 00726
PO Box
Suite 1164
Gurabo, PR 00778-1164
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9774 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1598710998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1164",
"city": "GURABO",
"state": "PR",
"postal_code": "007781164",
"telephone_number": "787-258-6936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO GALERIA MEDICA",
"address_2": "64 AVE SANTA CRUZ SUITE 106",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009617003",
"telephone_number": "787-785-6506"
}
],
"practiceLocations": [
{
"address_1": "Est Del Blvd",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009269570",
"country_code": "US",
"telephone_number": "787-852-1400 x6228",
"fax_number": "787-852-5090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATIAS VALLADARES",
"first_name": "PEDRO",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "9774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.