Active NPI
Wilma Patillas Monge Lugo
- Community Health Registered Nurse
- Patillas, PR
National Provider Identifier
1396237152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 075263
- Practice address
- 99 Calle Guillermo Riefkohl
Patillas, PR 00723-0697 - Phone
- (787) 363-2447
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 075263 | PR | Primary |
Addresses
Primary practice location
99 Calle Guillermo Riefkohl
Patillas, PR 00723-0697
Mailing address
PO Box 697
Patillas, PR 00723-0697
Phone (787) 363-2447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075263 | Other | PR | LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075263 | PR | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1396237152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 697",
"city": "PATILLAS",
"state": "PR",
"postal_code": "007230697",
"telephone_number": "787-363-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CALLE GUILLERMO RIEFKOHL",
"city": "PATILLAS",
"state": "PR",
"postal_code": "007230697",
"telephone_number": "787-363-2447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGE LUGO",
"first_name": "WILMA",
"middle_name": "PATILLAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "PR",
"license": "075263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "075263",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Patillas, PR
- Nilka Marie Mercado Valentin, TS
- Jose A Merced-Cruz
- Jennifer Merle Rivera
- Elio Jose Merle Sr., MBA
- Aidin Dalila Millan, MSW
- Norimar Esther Montalvo Martinez, PHARMD
- Gretchen Montanez-Rodriguez, MEDICAL TECHNOLOGIST
- Virginia Montanez, LPN
- Maricelie Morales Santiago, RN
- Heriberto Morales, PHARMACY TECHNICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.