Individual provider Active NPI

Stephanie Camille Vale, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Caguas, PR
National Provider Identifier
1821420902
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
21106 Issued in PR
Practice address
PR #1, Sakura Street
Plaza Bairoa Suite 245
Caguas, PR 00725
Phone
(787) 641-3030
Fax
(787) 641-3031
NPI assigned
Jul 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E-10587 AR
Retina Specialist (Ophthalmology) Physician 207WX0107X 56011 TN
Retina Specialist (Ophthalmology) Physician 207WX0107X 21106 PR Primary

Addresses

Primary practice location

PR #1, Sakura Street
Plaza Bairoa Suite 245
Caguas, PR 00725

Mailing address

Plaza Bairoa
1 Ave Fomento Suite 1
Caguas, PR 00725-2666
Phone (787) 641-3030

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
I20190523002326 PR Practitioner - Ophthalmology 5799057527 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puerto Rico Eye InstituteGroup PAC ID 2769876028, 7 clinicians

Practice addresses (Care Compare)

PR-1 Ave Sakura Plaza Bairoa
Suite 245
Caguas, PR 00725
Phone (787) 641-3030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21106PRMDRetina Specialist (Ophthalmology) Physician
56011TNMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Eye Institute Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
Prei Bayamon Ophthalmology CurrentSince Jun 3, 2025 Accepting new patients

Locations

1 Ave Fomento
Ste 1
Caguas, PR 00725

Organizations & group practices 2

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": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1821420902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA BAIROA",
            "address_2": "1 AVE FOMENTO SUITE 1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252666",
            "telephone_number": "787-641-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR #1, SAKURA STREET",
            "address_2": "PLAZA BAIROA SUITE 245",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-641-3030",
            "fax_number": "787-641-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALE",
        "first_name": "STEPHANIE",
        "middle_name": "CAMILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E-10587",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TN",
            "license": "56011",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PR",
            "license": "21106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.