Raul F Pena Valdivia, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

16486 Issued in PR

Practice address

A6 Marginal
Urb San Salvador
Manati, PR 00674

Phone

(787) 621-6578

Fax

(787) 621-6578

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: raul.penavaldivia@2621.securemail.prognocis.com
• Direct secure messaging: raul.penavaldivia@3279.securemail.prognocis.com

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.

• Women's Health and Aesthetic Clinic

  • Gynecology Physician
  • Manati, PR
  • NPI 1497481469
  NPD Authorized official
• Servicios Gineco-Obstetricos del Norte PSC

  • Obstetrics & Gynecology Physician
  • Manati, PR
  • NPI 1033123476
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1962421545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2012",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742012",
            "telephone_number": "787-621-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A6 MARGINAL",
            "address_2": "URB SAN SALVADOR",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-6578",
            "fax_number": "787-621-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA VALDIVIA",
        "first_name": "RAUL",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "16486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Path of Live Hospice Care Inc.
• Pci Group LLC
• Pediatria Norte CSP
• Maria Del Carmen Peguero Iguina, MD
• Gerry-Lyn Pelet, PHL
• Lourdes S. Pena-de la Vega, M.D.
• Roberto Bertran Pena, MD
• Viangely P Perales, RDN, LND, MHSN
• Cristina Marie Perez Brugman, PSYD
• Katiria Perez Caban

• Obstetrics & Gynecology Physician in Manati, PR
• Providers in Manati, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.