Individual provider Active NPI

Brenda L. Perez Valentin, M.D.

  • Family Medicine Physician
  • Camuy, PR
National Provider Identifier
1912948274
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15222 Issued in PR
Practice address
Carr #2 KM 93.0
Bo Membrillo
Camuy, PR 00627
Phone
(787) 262-4167
Fax
(787) 262-4167
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15222 PR Primary

Addresses

Primary practice location

Carr #2 KM 93.0
Bo Membrillo
Camuy, PR 00627

Mailing address

PO Box 141764
Arecibo, PR 00614-1764
Phone (787) 898-5773

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
I20060501000202 PR Practitioner - Family PracticePractitioner - General Practice 8123038536 Practice locations: Camuy, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15222FLMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Primary Medicine Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1912948274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141764",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141764",
            "telephone_number": "787-898-5773",
            "fax_number": "787-262-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 93.0",
            "address_2": "BO MEMBRILLO",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-262-4167",
            "fax_number": "787-262-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ VALENTIN",
        "first_name": "BRENDA",
        "middle_name": "L.",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.