Individual provider Active NPI

Jose Luis Villafane Riera, M.D.

  • General Practice Physician
  • Utuado, PR
National Provider Identifier
1528338860
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18360 Issued in PR
Practice address
Road 611, KM 2.2
Bo. Sabana Grande
Utuado, PR 00641
Phone
(787) 485-2717
NPI assigned
Jan 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 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 18360 PR Primary

Addresses

Primary practice location

Road 611, KM 2.2
Bo. Sabana Grande
Utuado, PR 00641

Mailing address

PO Box 140908
Arecibo, PR 00614-0908
Phone (787) 485-2717

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
I20120917000440 PR Practitioner - General Practice 3971751942 Practice locations: Utuado, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Calle Washington
Utuado, PR 00641-2809
Phone (787) 815-7750

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1528338860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140908",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140908",
            "telephone_number": "787-485-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 611, KM 2.2",
            "address_2": "BO. SABANA GRANDE",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "787-485-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANE RIERA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

Verify at the official NPI Registry.