Active NPI
Jose Valmir Gomes de Brito, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1780802900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5090
- Practice address
- Mansiones de Villanova
K-25 Calle Uno
San Juan, PR 00926 - Phone
- (787) 720-5160
- Fax
- (787) 720-5160
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5090 | PR | Primary |
Addresses
Primary practice location
Mansiones de Villanova
K-25 Calle Uno
San Juan, PR 00926
Mailing address
Mansiones de Villanova
K-25 Calle Uno
San Juan, PR 00926
Phone (787) 720-5160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064944 | Other | PA | CRUZ AZUL |
| 2-5537 | Other | PR | TRIPLE S |
Other names 1
- Dr. Valmir G. De Brito
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5090 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780802900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MANSIONES DE VILLANOVA",
"address_2": "K-25 CALLE UNO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-720-5160",
"fax_number": "787-720-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MANSIONES DE VILLANOVA",
"address_2": "K-25 CALLE UNO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-720-5160",
"fax_number": "787-720-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES DE BRITO",
"first_name": "JOSE",
"middle_name": "VALMIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "5090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "064944",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "2-5537",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VALMIR",
"last_name": "DE BRITO",
"middle_name": "G.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.