Edwin Villafane San Inocencio, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5447 Issued in PR

Practice address

E54 Calle Marginal
Ext Forest Hills
Bayamon, PR 00959-5513

Phone

(787) 780-4341

Fax

(787) 780-4341

NPI assigned

Aug 1, 2005

Last updated

Jul 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Universidad Central del Caribe, Inc.

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1598824765
  Medicare reassignment
• Edwin Villafane & Anamarie Ferriol

  dba Laboratorio Clinico Anamar

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1841290830
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1639179633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4115",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009581115",
            "telephone_number": "787-780-4341",
            "fax_number": "787-780-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E54 CALLE MARGINAL",
            "address_2": "EXT FOREST HILLS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595513",
            "telephone_number": "787-780-4341",
            "fax_number": "787-780-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANE SAN INOCENCIO",
        "first_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "5447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER NUMBER",
            "identifier": "PR00001000",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nilse Maria Vilar, O.D.
• Ana Maria Vilaro Casas
• Charles E Vilaro, MD DABS
• James Frederick Vilaro, MD
• Evairis Villafane Rios
• Federico Esteban Villafane, DC, DACBR
• Arlene D Villali, RPH
• Karla Marian Villalobos, MSW
• Nilsa D Villalobos
• Jose Ramon Villamil Rodriguez, MD

• Internal Medicine Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.