Active NPI
Vanessa Virginia Casillas Burgos, SLT
- Specialist
- San Juan, PR
National Provider Identifier
1104719111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 001528
- Practice address
- 85 Calle Mayaguez
San Juan, PR 00917-5109 - Phone
- (787) 455-3295
- NPI assigned
- May 29, 2025
- Last updated
- May 29, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 001528 | PR | Primary |
Addresses
Primary practice location
85 Calle Mayaguez
San Juan, PR 00917-5109
Mailing address
Villas de Navarra
Edif #8 Apt. D
Bayamon, PR 00956
Phone (939) 232-7113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001528 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1104719111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLAS DE NAVARRA",
"address_2": "EDIF #8 APT. D",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "939-232-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 CALLE MAYAGUEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175109",
"telephone_number": "787-455-3295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASILLAS BURGOS",
"first_name": "VANESSA",
"middle_name": "VIRGINIA",
"name_prefix": "Mrs.",
"credential": "SLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-29",
"last_updated": "2025-05-29",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "001528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Marisel Casasnovas, D.M.D.
- Nicolas C Casellas Castillo, MD
- Beatriz Casellas, PSYD
- Nicolas Javier Casellas, MD
- Casiano Consulting Services (Milton Casiano)
- Gretchen Nicole Casillas Canales, PSY.M.
- Angel David Sem Casillas Carmona, MHS
- Frances Enid Casillas Chiesa, FNP-C, FNP-BC
- Casillas Psychological Services LLC
- Angel Emmanuel Casillas Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.