Active NPI
Jose Villa, M.D.
- General Practice Physician
- Ponce, PR
National Provider Identifier
1275591406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8836
- Practice address
- 18 Calle Bertoly
Ponce, PR 00730-3162 - Phone
- (787) 473-1030
- Fax
- (787) 984-2300
- NPI assigned
- May 4, 2006
- Last updated
- Mar 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8836 | PR | Primary |
Addresses
Primary practice location
18 Calle Bertoly
Ponce, PR 00730-3162
Mailing address
18 Calle Bertoly
Ponce, PR 00730-3162
Phone (787) 473-1030
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8836 | PR | MD | Clinical Psychologist |
Organizations & group practices 3
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.
-
- General Practice Physician
- Ponce, PR
- NPI 1992107049
-
- General Practice Physician
- Ponce, PR
- NPI 1437662806
-
- Internal Medicine Physician
- Ponce, PR
- NPI 1447734819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1275591406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CALLE BERTOLY",
"city": "PONCE",
"state": "PR",
"postal_code": "007303162",
"telephone_number": "787-473-1030",
"fax_number": "787-984-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CALLE BERTOLY",
"city": "PONCE",
"state": "PR",
"postal_code": "007303162",
"telephone_number": "787-473-1030",
"fax_number": "787-984-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA",
"first_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "8836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.