Alfred Valdivieso, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19246 Issued in PR

Practice address

1396 Calle San Rafael Ste 15
San Juan, PR 00909-2525

Phone

(787) 405-4404

Fax

(939) 715-1061

NPI assigned

May 29, 2007

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

Other identifiers 3

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors' Center Hospital San Juan Hospital, Santurce, PR, CCN 400006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sjcalfredv@yourcarecommunity.org

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.

• VPS Medical Group LLC

  • Emergency Medicine Physician
  • San Juan, PR
  • NPI 1144785841
  NPD
• Doctors Center Hospital San Juan

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1699748236
  NPD (past)
• Municipio de Jayuya

  • General Acute Care Hospital
  • Jayuya, PR
  • NPI 1003876954
  NPD (past)
• Primary Care Medical Services, LLC

  • Primary Care Clinic/Center
  • San Juan, PR
  • NPI 1124774716
  NPD (past)

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

• Doctors Center Hospital San Juan

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Juan, PR
  • NPI 1205539558

  Hospital

  Care Compare affiliation
• Doctors Center Hospital San Juan

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1699748236
  Care Compare affiliation

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811198922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 CALLE ALDEA",
            "address_2": "APT TH5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072321",
            "telephone_number": "787-590-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 CALLE SAN RAFAEL STE 15",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092525",
            "telephone_number": "787-405-4404",
            "fax_number": "939-715-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIESO",
        "first_name": "ALFRED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037759400",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "DM19205-4",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MD995",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neyda Valdes
• Noelia Beatriz Valdes
• Jorge Valdesuso, MD
• Graldys Valdez, RN
• Yeira Valdez, DR
• Raul A. Vale Flores, M.D.
• Miguel Valencia
• Pedro A Valentin Buscamper, MD
• Diana Carolina Valentin Colon, M.D.
• Lisbeth Valentin Colon, M.D

• 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 Mar 7, 2023; 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.