Dr Raul A Vale Flores, MD - Medicare General Practice in San Juan, PR

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Dr Raul A Vale Flores, MD is a medicare enrolled "General Practice" physician in San Juan, Puerto Rico. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Pediatrix Medical Group Of Puerto Rico Psc and his current practice location is 1451 Ave Ashford, San Juan, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 721-2160.

Dr Raul A Vale Flores is licensed to practice in Puerto Rico (license number 9917) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336266147.

Contact Information

Dr Raul A Vale Flores, MD
1451 Ave Ashford,
San Juan, PR 00907-1511
(787) 721-2160
Not Available

Map and Direction




Physician's Profile

Full NameDr Raul A Vale Flores
GenderMale
SpecialityGeneral Practice
Experience41 Years
Location1451 Ave Ashford, San Juan, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Raul A Vale Flores graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1336266147
  • Provider Enumeration Date: 03/25/2007
  • Last Update Date: 04/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5799795688
  • Enrollment ID: I20060421000032

Medical Identifiers

Medical identifiers for Dr Raul A Vale Flores such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336266147NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 9917 (Puerto Rico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Presbyterian Community HospSan juan, PRHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pediatrix Medical Group Of Puerto Rico Psc06484960675

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Raul A Vale Flores allows following entities to bill medicare on his behalf.
Entity NamePediatrix Medical Group Of Puerto Rico Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255319703
PECOS PAC ID: 0648496067
Enrollment ID: O20140721001835
Entity NamePediatrix Caribbean Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528712692
PECOS PAC ID: 4486010428
Enrollment ID: O20230518000235

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Raul A Vale Flores is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Raul A Vale Flores, MD
An43 Via Antillana, Encantada,
Trujillo Alto, PR 00976-6124

Ph: (787) 755-6067		Dr Raul A Vale Flores, MD
1451 Ave Ashford,
San Juan, PR 00907-1511

Ph: (787) 721-2160

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.