Leticia Vallejo

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

2531 Issued in PR

Practice address

385 Calle Manuel Domenech
San Juan, PR 00918-3718

Phone

(787) 649-1928

Fax

(787) 771-9715

NPI assigned

May 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wound Care Plus Education and Research Center, Inc

  • Clinic/Center
  • San Juan, PR
  • NPI 1194160754
  NPD (past) Authorized official
• Wound and Ulcer Care Clinic of San

  • Medical Specialty Clinic/Center
  • San Juan, PR
  • NPI 1669697652
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1619236296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE MANUEL DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183718",
            "telephone_number": "787-649-1928",
            "fax_number": "787-771-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CALLE MANUEL DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183718",
            "telephone_number": "787-649-1928",
            "fax_number": "787-771-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "LETICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "PR",
            "license": "2531",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "029473",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "RN9217270",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C.W.S.",
            "identifier": "2531",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viviana Valle, MD
• Evelyn Del Mar Vallejo Calzada, MD
• Genesis Mayenncy Vallejo Tagle
• Orlando Vallejo-Rodriguez, M.D.
• Jonathan J Vallejo I
• Angel Javier Valles Bravo, MD
• Marcos Valls
• Vals Holistic Wellness LLC
• Eduardo Valsega, PHD
• Vam Eyemd, CSP

• Wound Care Registered Nurse in San Juan, PR
• Providers in San Juan, PR by specialty
• Wound Care Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.