Active NPI
Valley Pediatrics
- Medical Specialty Clinic/Center
- Yabucoa, PR
National Provider Identifier
1639211709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 11350
- Legal business name
- VALLEY PEDIATRICS
- Practice address
- Calle Francisco Sustache Esq Baldorioty # 35C
Yabucoa, PR 00767-0000 - Phone
- (787) 850-1858
- Fax
- (787) 285-4060
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Del R De Leon, MD
- Title
- Pediatra
- Phone
- (787) 266-2701
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 11350 | PR | Primary |
Addresses
Primary practice location
Calle Francisco Sustache Esq Baldorioty # 35C
Yabucoa, PR 00767-0000
Mailing address
P O Box 9092
Humacao, PR 00792-0000
Phone (787) 850-1858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HUMANA REFORMA | Other | PR | 1200929 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Humacao, PR
- NPI 1720127178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639211709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 9092",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007920000",
"telephone_number": "787-850-1858",
"fax_number": "787-285-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE FRANCISCO SUSTACHE ESQ BALDORIOTY # 35C",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007670000",
"telephone_number": "787-850-1858",
"fax_number": "787-285-4060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DE LEON",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "DEL R",
"authorized_official_title_or_position": "PEDIATRA",
"authorized_official_telephone_number": "787-266-2701",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "PR",
"license": "11350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1200929",
"identifier": "HUMANA REFORMA",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yabucoa, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.