Individual provider Active NPI

Julio J Valentin Nieves, MD

  • Interventional Cardiology Physician
  • Manati, PR
National Provider Identifier
1952535346
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
18343 Issued in PR
Practice address
668 Hernandez Carrion
Manati Medical Center Suite 203
Manati, PR 00678
Phone
(787) 918-0066
NPI assigned
May 13, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18343 PR
Cardiovascular Disease Physician 207RC0000X 18343 PR
Interventional Cardiology Physician 207RI0011X 18343 PR Primary

Addresses

Primary practice location

668 Hernandez Carrion
Manati Medical Center Suite 203
Manati, PR 00678

Mailing address

350, Carr 844,Alturas del Bosque
Apt.#2705
San Juan, PR 00926-7843
Phone (787) 378-3138

Other practice location 1

10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582 ext. 13191

Other practice location 2

668 Hernandez Carrion Manati Medical Center
Suite 203
Manati, PR 00674
Phone (787) 918-0066

Other practice location 3

668 Hernandez Carrion
Manati Medical Center Suite 203
Manati, PR 00674
Phone (787) 918-0066

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
I20180102002573 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2466710074 Reassigns benefits to 1 organization
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pci Group LLCGroup PAC ID 4688985625, 6 clinicians

Practice addresses (Care Compare)

1 Calle Jose D Candelas
Suite 203
Manati, PR 00674-5526
Phone (787) 918-0066

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18343PRMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pci Group LLC Cardiovascular Disease CurrentSince Jun 2, 2018 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952535346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350, CARR 844,ALTURAS DEL BOSQUE",
            "address_2": "APT.#2705",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267843",
            "telephone_number": "787-378-3138",
            "fax_number": "787-276-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 HERNANDEZ CARRION",
            "address_2": "MANATI MEDICAL CENTER SUITE 203",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-918-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Casia",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009213200",
            "country_code": "US",
            "telephone_number": "787-641-7582 x13191",
            "fax_number": "787-641-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "668 Hernandez Carrion Manati Medical Center",
            "address_2": "SUITE 203",
            "address_purpose": "LOCATION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-918-0066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "668 Hernandez Carrion",
            "address_2": "Manati Medical Center Suite 203",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-918-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTIN NIEVES",
        "first_name": "JULIO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18343",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "18343",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "18343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.