Individual provider Active NPI

Jennifer Valdes Cochran, M.D.

  • General Practice Physician
  • Yabucoa, PR
National Provider Identifier
1861485625
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15471 Issued in PR
Practice address
Urb Mendez A2
Suite 1
Yabucoa, PR 00767
Phone
(787) 705-9205
Fax
(787) 705-9206
NPI assigned
Aug 26, 2005
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 15471 PR Primary

Addresses

Primary practice location

Urb Mendez A2
Suite 1
Yabucoa, PR 00767

Mailing address

4 Calle Armonia
Gurabo, PR 00778-7800
Phone (787) 642-1641

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
I20041221000531 PR Practitioner - General Practice 0446218556 Reassigns benefits to 1 organization
Practice locations: Yabucoa, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Valdes Cochran CSP CurrentSince Nov 26, 2023 Accepting new patients
Yabucoamed LLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

51 Calle Luis Munoz Rivera
Yabucoa, PR 00767
Phone (787) 266-3337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1861485625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE ARMONIA",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007787800",
            "telephone_number": "787-642-1641",
            "fax_number": "787-743-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB MENDEZ A2",
            "address_2": "SUITE 1",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-705-9205",
            "fax_number": "787-705-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES COCHRAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

Verify at the official NPI Registry.