Active NPI
Luis R Fermin Valdez, MD
- General Practice Physician
- Rio Grande, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11603
- Practice address
- Calle Main Aa 4
Urb Alturas de Rio Grande
Rio Grande, PR 00745 - Phone
- (787) 500-7270
- Fax
- (787) 500-7270
- NPI assigned
- May 12, 2006
- Last updated
- Mar 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11603 | PR | Primary |
Addresses
Primary practice location
Calle Main Aa 4
Urb Alturas de Rio Grande
Rio Grande, PR 00745
Mailing address
PO Box 43002
Suite 151
Rio Grande, PR 00745-6601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0088969 | Medicaid | PR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081001000782 | PR | Practitioner - General Practice | 9436227618 | Practice locations: Rio Grande, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Calle Main
Aa4 Urbanizacion Alturas de Rio Grande
Rio Grande, PR 00745
Phone (787) 500-7270
Calle Main Aa4 Urb Alturas de Rio Grande
PO Box 43002 Suite 151
Rio Grande, PR 00745
PO Box
43002 Suite 151
Rio Grande, PR 00745
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Luis R Fermin Valdez,CRL | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Rio Grande, PR
- NPI 1255758157
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Rio Grande, PR
- NPI 1093922163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1871544304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43002",
"address_2": "SUITE 151",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007456601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MAIN AA 4",
"address_2": "URB ALTURAS DE RIO GRANDE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-500-7270",
"fax_number": "787-500-7270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERMIN VALDEZ",
"first_name": "LUIS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088969",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.