Dr Efrain Del Valle, MD - Medicare Psychiatry & Neurology in Carolina, PR

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Dr Efrain Del Valle, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Carolina, Puerto Rico. His current practice location is Gl14 Ave Campo Rico, Country Club, Carolina, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 276-2545.

Dr Efrain Del Valle is licensed to practice in Puerto Rico (license number 9373) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053398727.

Contact Information

Dr Efrain Del Valle, MD
Gl14 Ave Campo Rico, Country Club,
Carolina, PR 00982-2675
(787) 276-2545
Not Available

Map and Direction




Physician's Profile

Full NameDr Efrain Del Valle
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
LocationGl14 Ave Campo Rico, Carolina, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053398727
  • Provider Enumeration Date: 12/23/2005
  • Last Update Date: 05/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7618860776
  • Enrollment ID: I20040204000112

Medical Identifiers

Medical identifiers for Dr Efrain Del Valle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053398727NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 9373 (Puerto Rico)Primary

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 Efrain Del Valle allows following entities to bill medicare on his behalf.
Entity NameAdministracion De Servicios De Salud Mental Y Contra La Adiccion
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598750192
PECOS PAC ID: 2860304581
Enrollment ID: O20200221000447

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 Efrain Del Valle 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 Efrain Del Valle, MD
Gl14 Ave Campo Rico, Country Club,
Carolina, PR 00982-2675

Ph: (787) 276-2545		Dr Efrain Del Valle, MD
Gl14 Ave Campo Rico, Country Club,
Carolina, PR 00982-2675

Ph: (787) 276-2545

Reviews and Comments


Psychiatry & Neurology Doctors in Carolina, PR

Mrs. Beatriz Ramirez Ortiz, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: Street 4 B16, Carolina, PR 00985
Phone: 787-757-6043    Fax: 787-757-6043
Amparo Gonzalez, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: E17 Calle 7, Estancias De San Fernando, Carolina, PR 00985
Phone: 787-768-0282    
Ricardo Andres Arriaga,
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 7185 Carr 187, Carolina, PR 00979
Phone: 787-233-4561    
Jose Raul Torres, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 10 Ave Laguna, Suite 211, Carolina, PR 00979
Phone: 787-791-8897    Fax: 787-791-8801
Dr. Miguel Arturo Ramirez Jimenez, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: Private Mail Box 6007, Carolina, PR 00984
Phone: 787-750-0980    
Damaris Prieto, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: Hospital Upr Carolina, Ave. 65 De Infanteria, Carolina, PR 00983
Phone: 787-766-0940    Fax: 787-620-5727

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).

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