Individual provider Active NPI

Carla Antonia Del Valle Rolon, MD

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1821699687
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22040 Issued in PR
Practice address
Urb. Villas de Altamira Calle C, Casa 3
Arecibo, PR 00614-0061
Phone
(787) 354-8678
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22040 PR Primary

Addresses

Primary practice location

Urb. Villas de Altamira Calle C, Casa 3
Arecibo, PR 00614-0061

Mailing address

PO Box 142292
Arecibo, PR 00614-2292

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
I20210125001903 PR Practitioner - General Practice 8224442744 Practice locations: Arecibo, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1821699687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142292",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VILLAS DE ALTAMIRA CALLE C, CASA 3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140061",
            "telephone_number": "787-354-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VALLE ROLON",
        "first_name": "CARLA",
        "middle_name": "ANTONIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.