Eythan Morenu Villarrubia, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21987 Issued in PR

Practice address

15 Calle Dr Basora N
Mayaguez, PR 00680-4833

Phone

(787) 834-0101

NPI assigned

Sep 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bella Vista Hospital Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1083636179
  Medicare reassignment NPD
• Bella Vista Hospital, Inc

  • Anesthesiology Physician
  • Mayaguez, PR
  • NPI 1215827134
  NPD
• Hospicio Krystal Inc

  • Community Based Hospice Care Agency
  • Mayaguez, PR
  • NPI 1235635731
  NPD (past)
• R E N Enterprises Inc

  • Oxygen Equipment & Supplies (DME)
  • Mayaguez, PR
  • NPI 1730182338
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1265048706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810364",
            "telephone_number": "787-466-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE DR BASORA N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804833",
            "telephone_number": "787-834-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Calle Ramos Antonini E",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006805043",
            "country_code": "US",
            "telephone_number": "787-805-6325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENU VILLARRUBIA",
        "first_name": "EYTHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mayaguez",
            "affiliation": "N",
            "address_1": "155 Calle Ramos Antonini E",
            "city": "Mayaguez",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006805043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maritza Morales, RN, MSN
• Zaidee M. Morales, M.D.
• Manuel J Morell Agrinsoni, O.D.
• Maryangely E Moreno Campa, MD
• Liliana Moreno Rojas, CRNA
• Franklin Riveya Morenu, PHD
• Sonny H Moretta Cabrera
• Jocelyn Moyet, PHD
• MRJ Group, LLC
• Eugenio Mulero Portela, M.D.

• General Practice Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.