Individual provider Active NPI

Paola Mansilla-Letelier, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Guaynabo, PR
National Provider Identifier
1669621736
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
18179 Issued in PR
Practice address
22 Calle Gonzalez Giusti Ste 220
Guaynabo, PR 00968-3016
Phone
(787) 400-0333
Fax
(773) 232-7628
NPI assigned
Sep 15, 2008
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 18179 PR Primary

Addresses

Primary practice location

22 Calle Gonzalez Giusti Ste 220
Guaynabo, PR 00968-3016

Mailing address

PO Box 2447
Guaynabo, PR 00970-2447
Phone (787) 400-0333

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
I20170313000760 PR Practitioner - Endocrinology 8628352697 Practice locations: Bayamon, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Endocrinology Institute P.S.C PastSince May 18, 2025 Accepting new patients

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1669621736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2447",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009702447",
            "telephone_number": "787-400-0333",
            "fax_number": "773-232-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALLE GONZALEZ GIUSTI STE 220",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683016",
            "telephone_number": "787-400-0333",
            "fax_number": "773-232-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSILLA-LETELIER",
        "first_name": "PAOLA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "18179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.