Active NPI
Gladys A Valedon, MT
- Medical Technologist
- Trujillo Alto, PR
National Provider Identifier
1760669154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 2385
- Practice address
- 24 Via Mayorca
Urb L Antigua
Trujillo Alto, PR 00976-6101 - Phone
- (787) 774-2845
- Fax
- (787) 792-7842
- NPI assigned
- Jan 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 2385 | PR | Primary |
Addresses
Primary practice location
24 Via Mayorca
Urb L Antigua
Trujillo Alto, PR 00976-6101
Mailing address
24 Via Mallorca
Urb L Antigua
Trujillo Alto, PR 00976
Phone (787) 774-2845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2385 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1760669154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 VIA MALLORCA",
"address_2": "URB L ANTIGUA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-774-2845",
"fax_number": "787-792-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 VIA MAYORCA",
"address_2": "URB L ANTIGUA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766101",
"telephone_number": "787-774-2845",
"fax_number": "787-792-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALEDON",
"first_name": "GLADYS",
"middle_name": "A",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "PR",
"license": "2385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.