Individual provider Active NPI

Mayra Arlene Villamil, MD

  • Pediatrics Physician
  • Carolina, PR
National Provider Identifier
1104833763
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11211 Issued in PR
Practice address
1479 Calle Robalo
Bahia Vistamar
Carolina, PR 00983-1446
Phone
(787) 752-4444
Fax
(787) 752-4444
NPI assigned
Aug 3, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11211 PR Primary

Addresses

Primary practice location

1479 Calle Robalo
Bahia Vistamar
Carolina, PR 00983-1446

Mailing address

1479 Calle Robalo
Bahia Vistamar
Carolina, PR 00983-1446
Phone (787) 752-4444

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11211PRMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: sjcmayrav@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104833763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 CALLE ROBALO",
            "address_2": "BAHIA VISTAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831446",
            "telephone_number": "787-752-4444",
            "fax_number": "787-752-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 CALLE ROBALO",
            "address_2": "BAHIA VISTAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831446",
            "telephone_number": "787-752-4444",
            "fax_number": "787-752-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMIL",
        "first_name": "MAYRA",
        "middle_name": "ARLENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "11211",
            "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 Jul 9, 2007; 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.