Individual provider Active NPI

Omar Edgardo Valentin

  • Chiropractor
  • Ponce, PR
National Provider Identifier
1841885308
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
777 Issued in PR
Practice address
606 Ave Tito Castro Ste 113
Ponce, PR 00716-0203
Phone
(787) 221-3978
NPI assigned
Mar 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 777 PR Primary

Addresses

Primary practice location

606 Ave Tito Castro Ste 113
Ponce, PR 00716-0203

Mailing address

606 Ave Tito Castro Ste 113
Ponce, PR 00716-0203
Phone (787) 221-3978

Other identifiers 1

IdentifierTypeStateIssuer
777MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211208000972 PR Practitioner - Chiropractic 3173913035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Chiropractic Caguas, LLC Chiropractor CurrentSince Nov 15, 2021 Accepting new patients
Health Chiropractors & More LLC Chiropractor CurrentSince Mar 16, 2021 Accepting new patients
Health Chiropractors LLC Chiropractor CurrentSince Mar 16, 2021 Accepting new patients

Locations

606 Ave Tito Castro
Ste 113
Ponce, PR 00716
Phone (787) 221-3978

Organizations & group practices 3

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": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1841885308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 AVE TITO CASTRO STE 113",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160203",
            "telephone_number": "787-221-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 AVE TITO CASTRO STE 113",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160203",
            "telephone_number": "787-221-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "OMAR",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.