Organization Active NPI

Mayra Villanueva Pagan

  • Health Maintenance Organization
  • Aguada, PR
National Provider Identifier
1013392778
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
10647 Issued in PR
Legal business name
MAYRA VILLANUEVA PAGAN
Practice address
HC 56 Box 47773
Aguada, PR 00602-8706
Phone
(787) 689-0665
NPI assigned
Jul 23, 2015
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Mrs. Mayra Edna Villanueva
Title
Clinic Social Worker
Phone
(787) 689-0665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 10647 PR Primary

Addresses

Primary practice location

HC 56 Box 47773
Aguada, PR 00602-8706

Mailing address

HC 56 Box 47773
Aguada, PR 00602-8706
Phone (787) 689-0665

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1013392778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 56 BOX 47773",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006028706",
            "telephone_number": "787-689-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 56 BOX 47773",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006028706",
            "telephone_number": "787-689-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYRA VILLANUEVA PAGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "EDNA",
        "authorized_official_title_or_position": "CLINIC SOCIAL WORKER",
        "authorized_official_telephone_number": "787-689-0665",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "10647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.