Active NPI
Gustavo Alberto Rodriguez Villanueva, RN
- Critical Care Medicine Registered Nurse
- San Juan, PR
National Provider Identifier
1114520517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 72444
- Practice address
- Cond. Torres de Andalucia II
2 Calle Almonte Apt 1801
San Juan, PR 00926-2437 - Phone
- (787) 309-6325
- NPI assigned
- Nov 18, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 72444 | PR | Primary |
Addresses
Primary practice location
Cond. Torres de Andalucia II
2 Calle Almonte Apt 1801
San Juan, PR 00926-2437
Mailing address
Cond. Torres de Andalucia II
Calle Almonte 2 Apt 1801
San Juan, PR 00926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72444 | Other | PR | STATE LICENSE |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72444 | PR | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1114520517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. TORRES DE ANDALUCIA II",
"address_2": "CALLE ALMONTE 2 APT 1801",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND. TORRES DE ANDALUCIA II",
"address_2": "2 CALLE ALMONTE APT 1801",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009262437",
"telephone_number": "787-309-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ VILLANUEVA",
"first_name": "GUSTAVO",
"middle_name": "ALBERTO",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-18",
"last_updated": "2022-10-28",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "PR",
"license": "72444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "72444",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Natalia L Rodriguez Vazquez, MD
- Manuela Marie Rodriguez Vega, MSW
- Monica G. Rodriguez Velazquez, MD
- Juan J Rodriguez Velez, MD
- Roberto A Rodriguez Velez, MD
- Betsaida Rodriguez Villarreal, BSN RN
- Keyla G. Rodriguez Zayas, PHARMD
- Amelia Rodriguez-Acevedo, PHD
- Liza Rodriguez-Acevedo, MS-SLP
- Anibal I. Rodriguez-Alicea, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.