Marielys Villafane, M.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6940 Issued in PR

Practice address

Bo Las Palmas Carr 140 KM 21
Utuado, PR 00641-9280

Phone

(787) 232-2354

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marielys Villafane Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1174109045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 3977",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006419280",
            "telephone_number": "787-232-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO LAS PALMAS CARR 140 KM 21",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006419280",
            "telephone_number": "787-232-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANE",
        "first_name": "MARIELYS",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Utuado",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Utuado",
            "address_1": "Bo Las Palmas Carr 140 km 21",
            "city": "Utuado",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIELYS",
            "last_name": "VILLAFANE",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Ivelisse Velez
• Ruth N Velez, SPEECH PATHOLOGY
• Vidal & Caraballo Health Services LLC
• Charlie Vidal Jr., MD
• Jose Luis Villafane Riera, M.D.
• Wilmayra Villafane, MSW
• Vmed Transport LLC
• Walgreen Co (Walgreens #00185)
• WH Psychotherapy and Billing Center
• William de Jesus Camacho (Pre Hospital Emergency Resoponse System)

• Psychologist in Utuado, PR
• Providers in Utuado, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.