Individual provider Active NPI

Aura D Villanueva

  • Speech-Language Pathologist
  • Guaynabo, PR
National Provider Identifier
1649980111
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1083 Issued in PR
Practice address
Guaynabo Medical Mall
140 Las Cumbres Ave Suite 208
Guaynabo, PR 00969
Phone
(787) 397-5622
NPI assigned
Nov 25, 2022
Last updated
Nov 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1083 PR Primary

Addresses

Primary practice location

Guaynabo Medical Mall
140 Las Cumbres Ave Suite 208
Guaynabo, PR 00969

Mailing address

PO Box 3851
Guaynabo, PR 00970-3851
Phone (787) 397-5622

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://practicefusion.com Direct

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

State licenses

LicenseStateTypeSpecialty
1083PRMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bless Therapy Place PSC CurrentSince Nov 27, 2022 Accepting new patients

Locations

140 Ave Las Cumbres
Ste 208
Guaynabo, PR 00969
Phone (787) 321-5006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1649980111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3851",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703851",
            "telephone_number": "787-397-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUAYNABO MEDICAL MALL",
            "address_2": "140 LAS CUMBRES AVE SUITE 208",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-397-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "AURA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Estancias del Boulevard",
            "address_2": "7000 Carr 844 Apt 133",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.