Centro de Servicios de Salud Villa Nevarez LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRO DE SERVICIOS DE SALUD VILLA NEVAREZ LLC

Practice address

1111 Calle 1
San Juan, PR 00927-5134

Phone

(787) 810-3434

Fax

(888) 351-4227

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Waleska Nunez Santiago, MD

Title

President

Phone

(787) 810-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Waleska Nunez, MD

  • General Practice Physician
  • Bayamon, PR
  • NPI 1396715322
  NPD

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1396489126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CALLE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275134",
            "telephone_number": "787-810-3434",
            "fax_number": "888-351-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CALLE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275134",
            "telephone_number": "787-810-3434",
            "fax_number": "888-351-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SERVICIOS DE SALUD VILLA NEVAREZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "NUNEZ SANTIAGO",
        "authorized_official_first_name": "WALESKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-810-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "16203",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.