Individual provider Active NPI

Jose A Valles, MD

  • Pulmonary Disease Physician
  • Caguas, PR
National Provider Identifier
1730309915
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10594 Issued in PR
Practice address
Ave. Degetau 500 Tovre Hima Plaza
Suite 503-504
Caguas, PR 00725
Phone
(787) 744-4499
Fax
(787) 746-2454
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Function Technologist 225B00000X 10594 PR
Pulmonary Disease Physician 207RP1001X 10594 PR Primary

Addresses

Primary practice location

Ave. Degetau 500 Tovre Hima Plaza
Suite 503-504
Caguas, PR 00725

Mailing address

PO. Box 974
Caguas, PR 00726-0974
Phone (787) 744-4499

Other identifiers 1

IdentifierTypeStateIssuer
20385OtherPRTRIPLE SS

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
I20121029000571 PR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0941450936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hima PLZ I Ave Degetau
500 Piso 5 Suite 503 504
Caguas, PR 00725-7308
Phone (787) 744-4499

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10594PRMDPulmonary Function Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valles Y Diaz Doctores En Medicina Y Neumologia C.S.P Pulmonary Disease CurrentSince Jan 21, 2000 Accepting new patients

Locations

500 Ave Degetau
Ste 503504
Caguas, PR 00725
Phone (787) 703-1525

Interoperability endpoints

  • Direct secure messaging: jvalles@507.securemail.prognocis.com

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1730309915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO. BOX 974",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260974",
            "telephone_number": "787-744-4499",
            "fax_number": "787-746-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. DEGETAU 500 TOVRE HIMA PLAZA",
            "address_2": "SUITE 503-504",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-4499",
            "fax_number": "787-746-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLES",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "",
            "desc": "Pulmonary Function Technologist",
            "state": "PR",
            "license": "10594",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "10594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SS",
            "identifier": "20385",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.