Individual provider Active NPI

Victor O Valdez, MD

  • Emergency Medicine Physician
  • Ponce, PR
National Provider Identifier
1841324282
Registry record updated Sep 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5498 Issued in PR
Practice address
1959 Calle Fortuna
Urb Vista Alegre
Ponce, PR 00717-2304
Phone
(787) 640-8224
Fax
(188) 834-7927
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5498 PR Primary

Addresses

Primary practice location

1959 Calle Fortuna
Urb Vista Alegre
Ponce, PR 00717-2304

Mailing address

1959 Calle Fortuna
Urb Vista Alegre
Ponce, PR 00717-2304
Phone (787) 640-8224

Other identifiers 1

IdentifierTypeStateIssuer
25695OtherPRSSS

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
I20031103000170 PR Practitioner - Emergency Medicine 8729990460 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Damas Inc CurrentSince Apr 8, 2019 Accepting new patients
Southern Anesthesia Associates LLC Current Accepting new patients

Locations

2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380326400000",
    "number": "1841324282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 CALLE FORTUNA",
            "address_2": "URB VISTA ALEGRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172304",
            "telephone_number": "787-640-8224",
            "fax_number": "188-834-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 CALLE FORTUNA",
            "address_2": "URB VISTA ALEGRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172304",
            "telephone_number": "787-640-8224",
            "fax_number": "188-834-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "VICTOR",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "5498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "25695",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.