Active NPI
Irelis Villegas Fiol
- General Practice Physician
- Carolina, PR
National Provider Identifier
1053917807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 22103
- Practice address
- Carr 859 KM 1.9 Bo. Santa Cruz
Carolina, PR 00987 - Phone
- (786) 731-1611
- NPI assigned
- Dec 8, 2020
- Last updated
- Dec 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 22103 | PR | Primary |
Addresses
Primary practice location
Carr 859 KM 1.9 Bo. Santa Cruz
Carolina, PR 00987
Mailing address
HC 1 Box 11047
Carolina, PR 00987-9652
Phone (786) 731-1611
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210303000411 | PR | Practitioner - General Practice | 0941616783 | Practice locations: Bayamon, PR; Dorado, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1053917807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 11047",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009879652",
"telephone_number": "786-731-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 859 KM 1.9 BO. SANTA CRUZ",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "786-731-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS FIOL",
"first_name": "IRELIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "22103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.