Individual provider Active NPI

Federico Esteban Villafane, DC, DACBR

  • Radiology Chiropractor
  • Bayamon, PR
National Provider Identifier
1508381534
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
2014025382 Issued in MO
Practice address
Aa6 Ave Santa Juanita
Bayamon, PR 00956-4644
Phone
(787) 923-8354
NPI assigned
Aug 10, 2017
Last updated
Aug 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X 2014025382 MO Primary

Addresses

Primary practice location

Aa6 Ave Santa Juanita
Bayamon, PR 00956-4644

Mailing address

PO Box 3723
Bayamon, PR 00958-0723

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

LicenseStateTypeSpecialty
2014025382MOMDRadiology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1508381534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3723",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009580723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AA6 AVE SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564644",
            "telephone_number": "787-923-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANE",
        "first_name": "FEDERICO",
        "middle_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "DC, DACBR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "MO",
            "license": "2014025382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.