Individual provider Active NPI

Maria Denisse Diaz del Valle, PT

  • Physical Therapist
  • Caguas, PR
National Provider Identifier
1649732090
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1301 Issued in PR
Practice address
Vidal Y Rios Street 2J52 Bairoa Park
Caguas, PR 00727
Phone
(787) 505-7617
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1301 PR Primary

Addresses

Primary practice location

Vidal Y Rios Street 2J52 Bairoa Park
Caguas, PR 00727

Mailing address

Vidal Y Rios Street 2J52 Bairoa Park
Caguas, PR 00727
Phone (787) 505-7617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230116000425 PR Practitioner - Physical Therapist in Private Practice 7416328299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grupo Fisiatrico Villa Carmen, CSPGroup PAC ID 3476704446, 3 clinicians

Practice addresses (Care Compare)

K13 Calle Bayamon
Caguas, PR 00725-6108
Phone (787) 743-0873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Fisiatrico Villa Carmen, CSP CurrentSince Jan 10, 2022 Accepting new patients

Locations

K13 Calle Bayamon
Caguas, PR 00725
Phone (787) 743-0873

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1649732090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIDAL Y RIOS STREET 2J52 BAIROA PARK",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-505-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIDAL Y RIOS STREET 2J52 BAIROA PARK",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-505-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ DEL VALLE",
        "first_name": "MARIA",
        "middle_name": "DENISSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.