Individual provider Active NPI

Gabriel Irizarry Villafane, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bayamon, PR
National Provider Identifier
1487907184
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
18602 Issued in PR
Practice address
100 Laurel Avenue
Hospital Universitario Dr. Ramon Ruiz Arnau
Bayamon, PR 00956
Phone
(787) 787-5151
NPI assigned
Oct 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18602 PR
Student in an Organized Health Care Education/Training Program 390200000X 18602 PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 18602 PR Primary

Addresses

Primary practice location

100 Laurel Avenue
Hospital Universitario Dr. Ramon Ruiz Arnau
Bayamon, PR 00956

Mailing address

100 Laurel Avenue
Hospital Universitario Dr. Ramon Ruiz Arnau
Bayamon, PR 00956
Phone (787) 787-5151

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
I20201228000146 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 3173935756 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Ave Laurel
Bayamon, PR 00956-4816
Phone 78778751518199

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: gabriel.irizarryvillafane.p1@direct.vitacare.nextgenshare.com
  • Direct secure messaging: gabriel.irizarryvillafane@2621.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1487907184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAUREL AVENUE",
            "address_2": "HOSPITAL UNIVERSITARIO DR. RAMON RUIZ ARNAU",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-787-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAUREL AVENUE",
            "address_2": "HOSPITAL UNIVERSITARIO DR. RAMON RUIZ ARNAU",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-787-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY VILLAFANE",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18602",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "18602",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "18602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.