ALFRED VALDIVIESO MD NPI 1811198922

NPI Information

NPI: 1811198922
Provider Name: ALFRED VALDIVIESO, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1396 CALLE SAN RAFAEL STE 15
SAN JUAN, PR
ZIP 00909
Phone: (787) 405-4404
Get Directions

Alfred Valdivieso, MD is a general practice in San Juan, PR with 22 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Alfred Valdivieso, MD NPI is 1811198922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1396 CALLE SAN RAFAEL STE 15
SAN JUAN, PR
ZIP 00909-525
Phone: (787) 405-4404
Fax: (939) 715-1061

The NPI 1811198922 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		19246	PUERTO RICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	037759400	MEDICAID	PUERTO RICO
2	DM19205-4	OTHER	PUERTO RICO	STATE
3	MD995	OTHER	PUERTO RICO	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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