Active NPI
Pablo D Villafuerte, MD
- Psychiatry Physician
- Wilmington, DE
National Provider Identifier
1700878790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C1-0D00789
- Practice address
- 1400 Delaware Ave
Ste 1-a
Wilmington, DE 19806-3089 - Phone
- (302) 655-0188
- Fax
- (302) 655-0286
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C1-0D00789 | DE | Primary |
Addresses
Primary practice location
1400 Delaware Ave
Ste 1-a
Wilmington, DE 19806-3089
Mailing address
1400 Delaware Ave
Ste 1-a
Wilmington, DE 19806-3089
Phone (302) 655-0188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000449501 | Medicaid | DE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0D00789 | DE | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1700878790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 DELAWARE AVE",
"address_2": "STE 1-A",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198063089",
"telephone_number": "302-655-0188",
"fax_number": "302-655-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 DELAWARE AVE",
"address_2": "STE 1-A",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198063089",
"telephone_number": "302-655-0188",
"fax_number": "302-655-0286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAFUERTE",
"first_name": "PABLO",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C1-0D00789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000449501",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.