Active NPI
Mayra Villanueva Pagan
- Health Maintenance Organization
- Aguada, PR
National Provider Identifier
1013392778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 10647
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.