Leo Ralph Publico Villamayor, MBA, MN, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2521527 Issued in MN

Practice address

1216 2ND St SW
Rochester, MN 55902-1906

Phone

(507) 266-7890

NPI assigned

Jun 15, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Business Administration, Registered Nurse

State licenses

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1013750249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 2ND ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 2ND ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021906",
            "telephone_number": "507-266-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMAYOR",
        "first_name": "LEO RALPH",
        "middle_name": "PUBLICO",
        "name_prefix": "Mr.",
        "credential": "MBA, MN, BSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "955920",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2521527",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "873246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Viggiano, M.D.
• Aparna Vijayasekaran, MBBS, MS
• Priya Vijayvargiya
• Julian A Villalba Nunez, MD
• Beija Kimberly Villalpando, MD
• Anne Mae Villamiel, PHARMD
• Ramon Villamil Soto, MD
• Marites G Villarama
• Hector Ricardo Villarraga
• Nicolas Villarraga

• Registered Nurse in Rochester, MN
• Providers in Rochester, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.