Active NPI
Jose Jesus Larrauri del Valle Jr., MD
- General Practice Physician
- Coamo, PR
National Provider Identifier
1952953598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 22268
- Practice address
- 1 Calle Mario Braschi
Coamo, PR 00769-2593 - Phone
- (787) 825-1224
- Fax
- (787) 803-8814
- NPI assigned
- Jul 14, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 22268 | PR | Primary |
Addresses
Primary practice location
1 Calle Mario Braschi
Coamo, PR 00769-2593
Mailing address
PO Box 1883
Coamo, PR 00769-1883
Phone (787) 479-8167
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 |
|---|---|---|---|
| 22268 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Medicina Familiar Dr. Jose J. Larrauri | General Practice | 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.
-
- General Practice Physician
- Coamo, PR
- NPI 1942427406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676764800000",
"number": "1952953598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1883",
"city": "COAMO",
"state": "PR",
"postal_code": "007691883",
"telephone_number": "787-479-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CALLE MARIO BRASCHI",
"city": "COAMO",
"state": "PR",
"postal_code": "007692593",
"telephone_number": "787-825-1224",
"fax_number": "787-803-8814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRAURI DEL VALLE",
"first_name": "JOSE",
"middle_name": "JESUS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-14",
"last_updated": "2023-02-19",
"certification_date": "2023-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "22268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coamo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.