Visual Gallery P.S.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

597 Issued in PR

Legal business name

VISUAL GALLERY P.S.C.

Practice address

Ave. Nativo Alers
Edificio Farmacia San Antonio
Aguada, PR 00602

Phone

(787) 868-2181

Fax

(787) 868-2181

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Heidi A Villanueva, O.D.NPI 1073679031

Title

Optometry President

Phone

(787) 868-2181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Heidi A Villanueva, O.D.

  • Optometrist
  • Aguada, PR
  • NPI 1073679031
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1497811491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 56 BOX 35640",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029787",
            "telephone_number": "787-868-2181",
            "fax_number": "787-868-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. NATIVO ALERS",
            "address_2": "EDIFICIO FARMACIA SAN ANTONIO",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-2181",
            "fax_number": "787-868-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL GALLERY P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRY PRESIDENT",
        "authorized_official_telephone_number": "787-868-2181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisell Vera-Maldonado
• Israel J Villanueva Matos, MD
• Angelica Villanueva, MSPT
• Heidi A Villanueva, O.D.
• Natysha Yarie Villarrubia Ruiz
• West Health Care LLC
• West Health Internal Medicine LLC
• Western Dental P.S.C.
• Whitestone Pharmacy Corp
• Yamilet I Troche de Hoyos

• Optometrist in Aguada, PR
• Providers in Aguada, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.