Individual provider Active NPI

Hector Luis Villanueva Rodriguez, M.D.

  • Pediatric Adolescent Medicine Physician
  • San Juan, PR
National Provider Identifier
1336291053
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
8218 Issued in PR
Practice address
2020 Ave Borinquen
San Juan, PR 00915-3822
Phone
(787) 268-4171
Fax
(787) 727-3695
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 8218 PR Primary

Addresses

Primary practice location

2020 Ave Borinquen
San Juan, PR 00915-3822

Mailing address

Elemir 101 Alturas de Santa Maria
Guaynabo, PR 00969-4722
Phone (787) 378-9879

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8218PRMDPediatric Adolescent Medicine Physician

Interoperability endpoints

  • Direct secure messaging: hector.villanueva@hpmpr.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1336291053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELEMIR 101 ALTURAS DE SANTA MARIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694722",
            "telephone_number": "787-378-9879",
            "fax_number": "787-727-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 AVE BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153822",
            "telephone_number": "787-268-4171",
            "fax_number": "787-727-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA RODRIGUEZ",
        "first_name": "HECTOR",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PR",
            "license": "8218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.