Organization Active NPI

Cvo Internista LLC

  • Internal Medicine Physician
  • Moca, PR
National Provider Identifier
1720618929
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CVO INTERNISTA LLC
Practice address
Edif Vale Colon Ofic 6 Carr 111 KM 3.5
Moca, PR 00676-0067
Phone
(787) 877-1990
Fax
(787) 818-5973
NPI assigned
Jan 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Dr. Oscar E Vale Colon, MDNPI 1841289451
Title
Presidente
Phone
(787) 877-1990

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

Edif Vale Colon Ofic 6 Carr 111 KM 3.5
Moca, PR 00676-0067

Mailing address

PO Box 1858
Moca, PR 00676-1858
Phone (787) 877-1990

Other names 1

  • vale colon internal medicine Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201210001043 PR Part B Supplier - Clinic/Group Practice 6901218221 Receives reassigned benefits from 1 practitioner
Practice locations: Moca, PR

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": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1720618929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1858",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761858",
            "telephone_number": "787-877-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF VALE COLON OFIC 6 CARR 111 KM 3.5",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760067",
            "telephone_number": "787-877-1990",
            "fax_number": "787-818-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVO INTERNISTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "VALE COLON",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-877-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vale colon internal medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.