Active NPI
Jaime Valles
- Clinical Social Worker
- Guaynabo, PR
National Provider Identifier
1972822831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8849
- Practice address
- Bo. Guaraguao, Carr. 833
Sector Juana Ramos
Guaynabo, PR 00970-0000 - Phone
- (787) 630-2298
- Fax
- (787) 720-7711
- NPI assigned
- May 18, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8849 | PR | Primary |
Addresses
Primary practice location
Bo. Guaraguao, Carr. 833
Sector Juana Ramos
Guaynabo, PR 00970-0000
Mailing address
PO Box 102
Guaynabo, PR 00970-0102
Phone (787) 630-2298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENCIA | Other | PR | 8849 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8849 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1972822831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009700102",
"telephone_number": "787-630-2298",
"fax_number": "787-720-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO. GUARAGUAO, CARR. 833",
"address_2": "SECTOR JUANA RAMOS",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009700000",
"telephone_number": "787-630-2298",
"fax_number": "787-720-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLES",
"first_name": "JAIME",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-18",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "8849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "8849",
"identifier": "LICENCIA",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.