Individual provider Active NPI

Pedro F. Matias Valladares, M.D.

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1598710998
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9774 Issued in PR
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

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
9774PRMDGeneral 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

Verify at the official NPI Registry.