Individual provider Active NPI

Nadya Yanuska Villalba-Ramos, M.D.

  • Ophthalmology Physician
  • Santurce, PR
National Provider Identifier
1053501411
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17876 Issued in PR
Practice address
611 Calle Dr Pavia Fernandez
Pavia Medical Plaza Suite 209
Santurce, PR 00909-2244
Phone
(787) 728-2318
Fax
(787) 728-2359
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 17876 PR
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 17876 PR Primary

Addresses

Primary practice location

611 Calle Dr Pavia Fernandez
Pavia Medical Plaza Suite 209
Santurce, PR 00909-2244

Mailing address

436 Calle Rey Luis
La Villa de Torrimar
Guaynabo, PR 00969-3170
Phone (787) 366-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000370 PR Practitioner - Ophthalmology 2769516012 Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

611 Calle Pavia
Suite 210
San Juan, PR 00909-2244
Phone (787) 728-2359

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17876PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Glaucoma Care Single Specialty PastSince Apr 13, 2025 Accepting new patients
Glaucoma Specialists of Puerto Rico LLC Single Specialty Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1053501411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CALLE REY LUIS",
            "address_2": "LA VILLA DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693170",
            "telephone_number": "787-366-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE DR PAVIA FERNANDEZ",
            "address_2": "PAVIA MEDICAL PLAZA SUITE 209",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092244",
            "telephone_number": "787-728-2318",
            "fax_number": "787-728-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALBA-RAMOS",
        "first_name": "NADYA",
        "middle_name": "YANUSKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "PR",
            "license": "17876",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "17876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.