Active NPI
Doris Vega Villavicencio, MPH,OTR/L
- Occupational Therapist
- Bayamon, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 422
- Practice address
- SS3 Calle 35
Santa Juanita
Bayamon, PR 00956-4748 - Phone
- (787) 785-9683
- Fax
- (787) 785-9683
- NPI assigned
- Feb 2, 2006
- Last updated
- Feb 15, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 422 | PR | Primary |
Addresses
Primary practice location
SS3 Calle 35
Santa Juanita
Bayamon, PR 00956-4748
Mailing address
SS3 Calle 35
Santa Juanita
Bayamon, PR 00956-4748
Phone (787) 785-9683
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890461 | Other | PR | MEDICARE Y MUCHO MAS |
| 6605720151 | Other | PR | MCS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 422 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc | Occupational Therapist | Current | Accepting new patients |
| Hector J Guerra | Occupational Therapist | Past | Accepting new patients |
| OT Clinical Group Corp | Occupational Therapist | Past | Accepting new patients |
| New Health Med Group Inc | Occupational Therapist | Past | Accepting new patients |
Locations
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clinical Support Group Inc
- Clinical Psychologist
- Carolina, PR
- NPI 1083630156
Occupational Therapist
-
- Occupational Therapist
- Bayamon, PR
- NPI 1255303467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1164494472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SS3 CALLE 35",
"address_2": "SANTA JUANITA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564748",
"telephone_number": "787-785-9683",
"fax_number": "787-785-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SS3 CALLE 35",
"address_2": "SANTA JUANITA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564748",
"telephone_number": "787-785-9683",
"fax_number": "787-785-9683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA VILLAVICENCIO",
"first_name": "DORIS",
"name_prefix": "Mrs.",
"credential": "MPH,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "890461",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS",
"identifier": "6605720151",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.