Organization Active NPI

Valley Pediatrics

  • Medical Specialty Clinic/Center
  • Yabucoa, PR
National Provider Identifier
1639211709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
11350 Issued in PR
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

Updated by the provider on Aug 22, 2020

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, MDNPI 1720127178
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HUMANA REFORMAOtherPR1200929

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.