Organization Active NPI

Villegas LLC

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1457710014
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VILLEGAS LLC
Practice address
360 Calle del Parque Suite 1
Ciudadela Suite 1
San Juan, PR 00912-0001
Phone
(787) 919-3156
Fax
(787) 919-3156
NPI assigned
Feb 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Dr. Victor M Villegas Ceide, M.D.
Title
President
Phone
(787) 919-3156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

360 Calle del Parque Suite 1
Ciudadela Suite 1
San Juan, PR 00912-0001

Mailing address

360 Calle del Parque Ste 1
Ciudadela
San Juan, PR 00912
Phone (787) 919-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160412001585 PR Part B Supplier - Clinic/Group Practice 9234437062 Receives reassigned benefits from 3 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

360 Calle del Parque
#1
San Juan, PR 00912
Phone (787) 919-3156

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1457710014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CALLE DEL PARQUE STE 1",
            "address_2": "CIUDADELA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-919-3156",
            "fax_number": "787-919-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CALLE DEL PARQUE SUITE 1",
            "address_2": "CIUDADELA SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009120001",
            "telephone_number": "787-919-3156",
            "fax_number": "787-919-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS CEIDE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-919-3156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "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 Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.