Active NPI
Jesus Manuel Villafane, M.D.
- Hospitalist Physician
- Fajardo, PR
National Provider Identifier
1336342575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 16788
- Practice address
- Pena Mar Ocean Club
Apt. 110
Fajardo, PR 00738 - Phone
- (787) 617-4352
- NPI assigned
- Jun 6, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16788 | PR | |
| Hospitalist Physician | 208M00000X | 16788 | PR | Primary |
Addresses
Primary practice location
Pena Mar Ocean Club
Apt. 110
Fajardo, PR 00738
Mailing address
PO Box 1050
Fajardo, PR 00738-1050
Phone (787) 617-4352
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16788 | PR | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1336342575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1050",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007381050",
"telephone_number": "787-617-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PENA MAR OCEAN CLUB",
"address_2": "APT. 110",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-617-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAFANE",
"first_name": "JESUS",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "16788",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PR",
"license": "16788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.