Individual provider Active NPI

Wilson Torres-Estela, M.D.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1497091896
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
020225 Issued in PR
Practice address
1243 Calle Calma
Ponce, PR 00717-2514
Phone
(787) 248-7908
NPI assigned
Dec 13, 2012
Last updated
Dec 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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 020225 PR Primary

Addresses

Primary practice location

1243 Calle Calma
Ponce, PR 00717-2514

Mailing address

Urb. Buena Vista
1243 Calle Calma
Ponce, PR 00717-2514
Phone (787) 248-7908

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
I20130405000291 PR Practitioner - General Practice 7214172634 Reassigns benefits to 1 organization
Practice locations: Arroyo, PR; Patillas, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Servicios Primarios de Salud de Patillas Inc. CurrentSince Apr 1, 2023 Accepting new patients
Centro Servicios Primarios de Salud de Patillas Inc. Current Accepting new patients
Centro Servicios Primarios de Salud de Patillas Inc.-Maunabo CurrentSince Apr 1, 2023 Accepting new patients
Centro Servicios Primarios de Salud de Patillas Inc. Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1497091896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. BUENA VISTA",
            "address_2": "1243 CALLE CALMA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172514",
            "telephone_number": "787-248-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 CALLE CALMA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172514",
            "telephone_number": "787-248-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-ESTELA",
        "first_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "020225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.