Active NPI
Enid Del Valle, M.D.
- Pediatric Rheumatology Physician
- San Juan, PR
National Provider Identifier
1891899241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rheumatology Physician
- License
- 11920
- Practice address
- San Jorge Medical Office Building San Jorge Street 252
Suite 407
San Juan, PR 00912 - Phone
- (787) 728-1415
- Fax
- (787) 728-1409
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Rheumatology Physician | 2080P0216X | 11920 | PR | Primary |
Addresses
Primary practice location
San Jorge Medical Office Building San Jorge Street 252
Suite 407
San Juan, PR 00912
Mailing address
1047 Carite Street
Urb. Valles del Lago
Caguas, PR 00725
Phone (787) 747-0246
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11920 | PR | MD | Clinical Social Worker |
Interoperability endpoints
- sjcedelv@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891899241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 CARITE STREET",
"address_2": "URB. VALLES DEL LAGO",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-747-0246",
"fax_number": "787-977-5062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAN JORGE MEDICAL OFFICE BUILDING SAN JORGE STREET 252",
"address_2": "SUITE 407",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00912",
"telephone_number": "787-728-1415",
"fax_number": "787-728-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL VALLE",
"first_name": "ENID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "PR",
"license": "11920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
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.