Individual provider Active NPI

Mabel Enid Valentin, M.D.

  • General Practice Physician
  • Naranjito, PR
National Provider Identifier
1679851851
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18275 Issued in PR
Practice address
60 Calle Georgetti
Naranjito, PR 00719-3000
Phone
(787) 869-4842
Fax
(787) 693-4053
NPI assigned
Jul 22, 2011
Last updated
Sep 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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 18275 PR Primary

Addresses

Primary practice location

60 Calle Georgetti
Naranjito, PR 00719-3000

Mailing address

PO Box 40
Manati, PR 00674-0040
Phone (787) 869-4842

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
I20110921000601 PR Practitioner - General Practice 9436320520 Reassigns benefits to 2 organizations
Practice locations: Manati, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sirona LLC General Practice CurrentSince Oct 1, 2022 Accepting new patients
Gemipsc CurrentSince Mar 15, 2015 Accepting new patients
Nueva Vida de la Salud II Past Accepting new patients
Nueva Vida de la Salud Corp General Practice Past Accepting new patients

Locations

B41 Calle Elliot Velez
Manati, PR 00674
Phone (787) 621-4364

60 Calle Georgetti
Naranjito, PR 00719
Phone (787) 869-4842

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1679851851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740040",
            "telephone_number": "787-869-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CALLE GEORGETTI",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193000",
            "telephone_number": "787-869-4842",
            "fax_number": "787-693-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "MABEL",
        "middle_name": "ENID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.