Jorge Valdesuso, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11470 Issued in PR

Practice address

200 Ave Cupey Gardens Suite 11 W
Cupey Gardens Plaza
Sanjuan, PR 00926

Phone

(787) 760-4425

Fax

(787) 748-4036

NPI assigned

Jun 15, 2006

Last updated

Jun 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice, Ponce, PR, CCN 401530

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JV Medical Services LLC

  • General Practice Physician
  • San Juan, PR
  • NPI 1598641375
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc.

  • Community Based Hospice Care Agency
  • Ponce, PR
  • NPI 1841925161
  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1801830427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ARBOLES DE MONTEHIEDRA",
            "address_2": "BLVD 600 BOX 342",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-760-4425",
            "fax_number": "787-748-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE CUPEY GARDENS SUITE 11 W",
            "address_2": "CUPEY GARDENS PLAZA",
            "city": "SANJUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-760-4425",
            "fax_number": "787-748-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDESUSO",
        "first_name": "JORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose L. Valderrabano, M.D.
• Jose Valdes -Fernandez, MD
• Jackeline Valdes-Monge, JACKELINE VALDES
• Neyda Valdes
• Noelia Beatriz Valdes
• Graldys Valdez, RN
• Yeira Valdez, DR
• Alfred Valdivieso, MD
• Raul A. Vale Flores, M.D.
• Miguel Valencia

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.