Individual provider Active NPI

Wilma Virella-Santana, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
National Provider Identifier
1609836113
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
12527 Issued in PR
Practice address
Patologia RCM Edif. Principal Ofic. 391
Centro Medico de Puerto Rico, Bo. Monacillos
San Juan, PR 00935
Phone
(787) 758-2525
Fax
(787) 754-0710
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 12527 PR Primary
Pathology Specialist/Technologist 246Q00000X 012527 PR

Addresses

Primary practice location

Patologia RCM Edif. Principal Ofic. 391
Centro Medico de Puerto Rico, Bo. Monacillos
San Juan, PR 00935

Mailing address

Patologia RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 758-2525

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
I20041214000519 PR Practitioner - Pathology 0941267793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puerto Rico Pathology Associates PGroup PAC ID 4385655760, 14 clinicians

Practice addresses (Care Compare)

198 Calle Trinidad
Suite 102
San Juan, PR 00917-2900
Phone (787) 726-5486

198 Trinidad St
Suite 102
San Juan, PR 00917-2900

Merit-based Incentive Payment System (MIPS)

Final score
82.48 of 100Reported as group
Quality
64.96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012527PRMDPathology Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Pathology Associates P Anatomic Pathology & Clinical Pathology CurrentSince Apr 20, 2018 Accepting new patients
University Pathology Associates, PCS Past Accepting new patients
University Pathologists, Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

198 Calle Trinidad
Ste 102
San Juan, PR 00917

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1609836113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PATOLOGIA RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-758-2525",
            "fax_number": "787-754-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PATOLOGIA RCM EDIF. PRINCIPAL OFIC. 391",
            "address_2": "CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-758-2525",
            "fax_number": "787-754-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRELLA-SANTANA",
        "first_name": "WILMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "12527",
            "primary": true
        },
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "PR",
            "license": "012527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.