Active NPI
Humberto Villa, DMD
- Periodontics
- Arecibo, PR
National Provider Identifier
1144426461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 00942
- Practice address
- 418 Ave Jose de Diego
Arecibo, PR 00612-4383 - Phone
- (787) 879-3620
- NPI assigned
- Jun 23, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 00942 | PR | Primary |
Addresses
Primary practice location
418 Ave Jose de Diego
Arecibo, PR 00612-4383
Mailing address
418 Ave Jose de Diego
Arecibo, PR 00612-4383
Phone (787) 879-3620
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 |
|---|---|---|---|
| 00942 | PR | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144426461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 AVE JOSE DE DIEGO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124383",
"telephone_number": "787-879-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 AVE JOSE DE DIEGO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124383",
"telephone_number": "787-879-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA",
"first_name": "HUMBERTO",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PR",
"license": "00942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
- Villa Los Santos Clinic, LLC
- Villa Los Santos Clinic, LLC
- Villa Los Santos Hco Inc
- Villa Los Santos Management
- Villa Toledo Centro de Rehabilitacion E Implantologia Oral
- Villanueva Gonzalez and Associates, PSC
- Esther L Villanueva Valdes, M.D.
- William Villanueva-Bosque, MD
- Lourdes A Villanueva, BS
- Miriam M Viruet Cortes, MS CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.