Jonathan J Vallejo I

Primary specialty

PharmacistTaxonomy code 183500000X

License

8202 Issued in PR

Practice address

700 Ave Roberto H Todd
San Juan, PR 00907-4807

Phone

(787) 945-7710

Fax

(787) 945-7716

NPI assigned

Jun 9, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Walgreen Co

  • Pharmacy
  • San Juan, PR
  • NPI 1467764977
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1700560927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192825",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192825",
            "telephone_number": "787-932-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 AVE ROBERTO H TODD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074807",
            "telephone_number": "787-945-7710",
            "fax_number": "787-945-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "JONATHAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "2144",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "8202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Pharmacist in San Juan, PR
• Providers in San Juan, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.