Individual provider Active NPI

Jose Eugenio Villanueva, M.D.

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1649258807
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4118 Issued in PR
Practice address
1056 Ave Munoz Rivera
Ste 911
San Juan, PR 00927-5026
Phone
(787) 765-2741
Fax
(787) 724-6626
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4118 PR Primary

Addresses

Primary practice location

1056 Ave Munoz Rivera
Ste 911
San Juan, PR 00927-5026

Mailing address

1379 Paseo Don Juan
Apt. 9C
San Juan, PR 00907-1461
Phone (787) 765-2741

Other names 1

  • Dr. Jose Eugenio Villanueva-Arce Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 27, 2016 through Jan 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4118PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1649258807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 PASEO DON JUAN",
            "address_2": "APT. 9C",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071461",
            "telephone_number": "787-765-2741",
            "fax_number": "787-724-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 AVE MUNOZ RIVERA",
            "address_2": "STE 911",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275026",
            "telephone_number": "787-765-2741",
            "fax_number": "787-724-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "JOSE",
        "middle_name": "EUGENIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "4118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "VILLANUEVA-ARCE",
            "middle_name": "EUGENIO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.