Individual provider Active NPI

Grissel Awilda Villanueva, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1467061325
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21849 Issued in PR
Practice address
502 Ave Victoria
Aguadilla, PR 00603-4700
Phone
(787) 690-8364
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21849 PR Primary

Addresses

Primary practice location

502 Ave Victoria
Aguadilla, PR 00603-4700

Mailing address

PO Box 4778
Aguadilla, PR 00605-4778
Phone (787) 690-8364

Other practice location 1

1654 Calle Tulipan Ste 100
San Juan, PR 00927-6242
Phone (939) 739-4854

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL MAYAGUEZ
SOAP URL AGUADILLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210000463 PR Practitioner - General Practice 2466864749 Reassigns benefits to 1 organization
Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1654 Calle Tulipan
Suite 100
San Juan, PR 00927-6242
Phone (939) 739-2761

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Globalsky Health Puerto Rico LLC General Practice CurrentSince May 18, 2025 Accepting new patients

Locations

1654 Calle Tulipan
Ste 100
San Juan, PR 00927
Phone (939) 739-2761

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1467061325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4778",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054778",
            "telephone_number": "787-690-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 AVE VICTORIA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006034700",
            "telephone_number": "787-690-8364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1654 Calle Tulipan Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009276242",
            "country_code": "US",
            "telephone_number": "939-739-4854",
            "fax_number": "939-739-4854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "GRISSEL",
        "middle_name": "AWILDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MAYAGUEZ",
            "affiliation": "N",
            "address_1": "502 Ave Victoria",
            "city": "Aguadilla",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006034700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "AGUADILLA",
            "affiliation": "N",
            "address_1": "502 Ave Victoria",
            "city": "Aguadilla",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006034700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.