Active NPI
Angel Emmanuel Casillas Rodriguez
- Student in an Organized Health Care Education/Training Program
- San Juan, PR
National Provider Identifier
1447813860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Ave Juan Ponce de Leon 715
San Juan, PR 00917-5032 - Phone
- (787) 758-2000
- NPI assigned
- Apr 22, 2019
- Last updated
- Jun 9, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PR | Primary |
Addresses
Primary practice location
Ave Juan Ponce de Leon 715
San Juan, PR 00917-5032
Mailing address
Ave Juan Ponce de Leon 715
San Juan, PR 00917
Phone (787) 758-2000
Other practice location 1
Colinas de Monte Carlo
Calle 37 Bloque C-3
San Juan, PR 00924
Phone (939) 416-4232
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 |
|---|---|---|---|
| 2024-P.A. | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1447813860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE JUAN PONCE DE LEON 715",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-758-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE JUAN PONCE DE LEON 715",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175032",
"telephone_number": "787-758-2000"
}
],
"practiceLocations": [
{
"address_1": "Colinas de Monte Carlo",
"address_2": "Calle 37 Bloque C-3",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00924",
"country_code": "US",
"telephone_number": "939-416-4232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASILLAS RODRIGUEZ",
"first_name": "ANGEL",
"middle_name": "EMMANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-22",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Vanessa Virginia Casillas Burgos, SLT
- Gretchen Nicole Casillas Canales, PSY.M.
- Angel David Sem Casillas Carmona, MHS
- Frances Enid Casillas Chiesa, FNP-C, FNP-BC
- Casillas Psychological Services LLC
- Franchard Casimir, M.D
- Edna Mercedes Castaneda Torres, MD
- Castaner & Pou LLC
- Juan Castaner, M.D.
- Aileen Castellano, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.