Active NPI
Mayra Arlene Villamil, MD
- Pediatrics Physician
- Carolina, PR
National Provider Identifier
1104833763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11211
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11211 | PR | MD | Pediatrics Physician |
Interoperability endpoints
- 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.