Individual provider Active NPI

Jorge A Valle, M.D.

  • Specialist
  • Bonita Springs, FL
National Provider Identifier
1891864047
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME89200 Issued in FL
Practice address
9530 Bonita Beach Rd SE
Suite 104
Bonita Springs, FL 34135-4769
Phone
(239) 444-1903
Fax
(239) 444-2391
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME89200 FL Primary

Addresses

Primary practice location

9530 Bonita Beach Rd SE
Suite 104
Bonita Springs, FL 34135-4769

Mailing address

9530 Bonita Beach Rd SE
Suite 104
Bonita Springs, FL 34135-4769
Phone (239) 444-1903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME89200FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Reproductive Medicine Surgery, P.a. Specialist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891864047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 BONITA BEACH RD SE",
            "address_2": "SUITE 104",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354769",
            "telephone_number": "239-444-1903",
            "fax_number": "239-444-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 BONITA BEACH RD SE",
            "address_2": "SUITE 104",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354769",
            "telephone_number": "239-444-1903",
            "fax_number": "239-444-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "JORGE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME89200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.