Active NPI
Ivonne Villafane-Candelas, M.D.
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1619986767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6356
- Practice address
- Centro Medico, Carr. 22 KM 2
Centro Pediatrico Hospital Pediatrico Universitario
San Juan, PR 00935 - Phone
- (787) 763-0550
- Fax
- (787) 763-1093
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6356 | PR | Primary |
Addresses
Primary practice location
Centro Medico, Carr. 22 KM 2
Centro Pediatrico Hospital Pediatrico Universitario
San Juan, PR 00935
Mailing address
PO Box 190110
San Juan, PR 00919-0110
Phone (787) 763-0550
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6356 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1619986767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190110",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009190110",
"telephone_number": "787-763-0550",
"fax_number": "787-763-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO MEDICO, CARR. 22 KM 2",
"address_2": "CENTRO PEDIATRICO HOSPITAL PEDIATRICO UNIVERSITARIO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00935",
"telephone_number": "787-763-0550",
"fax_number": "787-763-1093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAFANE-CANDELAS",
"first_name": "IVONNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "6356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.