Individual provider Active NPI

Victor M Villegas, M.D.

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1174771653
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME112533 Issued in FL
Practice address
360 Calle del Parque
Ciudadela Suite 1
San Juan, PR 00921-0001
Phone
(787) 919-3156
Fax
(787) 919-3156
NPI assigned
Sep 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 18067 PR
Ophthalmology Physician 207W00000X ME112533 FL Primary

Addresses

Primary practice location

360 Calle del Parque
Ciudadela Suite 1
San Juan, PR 00921-0001

Mailing address

659 Calle la Paz
San Juan, PR 00907-3508
Phone (787) 919-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412001822 PR Practitioner - Ophthalmology 3274789284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villegas LLCGroup PAC ID 9234437062, 3 clinicians
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

360 Calle del Parque
Suite 1
San Juan, PR 00912-3717
Phone (787) 919-3158

Bo Monacillos Centro Medico de Puert
Rio Piedras, PR 00935
Phone (787) 777-3535

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Sep 1, 2015 Accepting new patients
Recinto de Ciencias Medicas Ophthalmology CurrentSince Sep 1, 2015 Accepting new patients
University of Miami Past Accepting new patients

Locations

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

Interoperability endpoints

  • Direct secure messaging: victor.villegas@uprophthalmology.direct.eyemdemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1174771653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 CALLE LA PAZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073508",
            "telephone_number": "787-919-3156",
            "fax_number": "787-919-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CALLE DEL PARQUE",
            "address_2": "CIUDADELA SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009210001",
            "telephone_number": "787-919-3156",
            "fax_number": "787-919-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "18067",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME112533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.