Active NPI
Wisarys Molina Villanueva
- Speech-Language Pathologist
- San Juan, PR
National Provider Identifier
1477073203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4092
- Practice address
- 465 Ave Hostos Urb. Vedado
San Juan, PR 00918-3014 - Phone
- (787) 946-4501
- NPI assigned
- Jun 22, 2017
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4092 | PR | Primary |
Addresses
Primary practice location
465 Ave Hostos Urb. Vedado
San Juan, PR 00918-3014
Mailing address
RR 2 Box 3017
Toa Alta, PR 00953-9664
Phone (787) 464-8082
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 |
|---|---|---|---|
| 4092 | PR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blablao LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Well&Lean LLC | Past | Accepting new patients | |
| Well&Lean LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Corozal, PR
- NPI 1801775283
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Juan, PR
- NPI 1194272575
-
- Health Service Clinic/Center
- San Juan, PR
- NPI 1306207972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498089600000",
"number": "1477073203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 3017",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009539664",
"telephone_number": "787-464-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 AVE HOSTOS URB. VEDADO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183014",
"telephone_number": "787-946-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA VILLANUEVA",
"first_name": "WISARYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2017-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4092",
"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 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.