Active NPI
Fabiola Santos-Vilella, PH.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1144655093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1742
- Practice address
- 561 Calle Ensenada
Apt. 10-a
San Juan, PR 00907-2428 - Phone
- (787) 504-4181
- Fax
- (787) 282-4026
- NPI assigned
- Sep 11, 2013
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1742 | PR | Primary |
Addresses
Primary practice location
561 Calle Ensenada
Apt. 10-a
San Juan, PR 00907-2428
Mailing address
561 Calle Ensenada
Apt. 10-a
San Juan, PR 00907-2428
Phone (787) 504-4181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1742 | Other | PR | STATE LICENCE |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1742 | PR | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1144655093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 CALLE ENSENADA",
"address_2": "APT. 10-A",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009072428",
"telephone_number": "787-504-4181",
"fax_number": "787-282-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 CALLE ENSENADA",
"address_2": "APT. 10-A",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009072428",
"telephone_number": "787-504-4181",
"fax_number": "787-282-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS-VILELLA",
"first_name": "FABIOLA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "1742",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.