Organization Active NPI

Imca

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1942909502
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IMCA
Practice address
735 Ave Ponce de Leon Ste 715
San Juan, PR 00917-5030
Phone
(787) 250-0125
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Dr. Pedro Del Valle, MD
Title
Owner/Partner
Phone
(787) 250-0125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

735 Ave Ponce de Leon Ste 715
San Juan, PR 00917-5030

Mailing address

735 Ave Ponce de Leon Ste 715
San Juan, PR 00917-5030
Phone (787) 250-0125

Other identifiers 1

IdentifierTypeStateIssuer
11593OtherPRMD

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 715
San Juan, PR 00917
Phone (787) 250-0125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1942909502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 715",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175030",
            "telephone_number": "787-250-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 715",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175030",
            "telephone_number": "787-250-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "787-250-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "11593",
            "state": "PR"
        }
    ],
    "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 Mar 2, 2023; 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.