Bladys Johanna Lopez Villanueva, MEDICINE DOCTOR

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23512 Issued in PR

Practice address

Carr 464 KM 2.4
Bo Aceitunas
Moca, PR 00676

Phone

(787) 242-4366

NPI assigned

Aug 2, 2023

Last updated

Mar 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

• Una Mano Amiga Health Group LLC

  • General Practice Physician
  • Moca, PR
  • NPI 1174467237
  NPD Authorized official

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1710669544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 9110",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769265",
            "telephone_number": "787-242-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 464 KM 2.4",
            "address_2": "BO ACEITUNAS",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-242-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VILLANUEVA",
        "first_name": "BLADYS",
        "middle_name": "JOHANNA",
        "credential": "MEDICINE DOCTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23512",
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Pharmacy Corp.
• Lixel Strategies LLC
• Yaniris Lopez Gonzalez
• Zobeida Lopez Rios
• Kathia Yarie Lopez Soto
• Carlos I Lopez, PARAMEDIC/NURSE
• Harry Nelson Lopez, E.M.T.
• Zuleyka Lopez
• Jose Lorenzo-Hernandez, PHD
• Francelis Lorenzo, PSYD

• General Practice Physician in Moca, PR
• Providers in Moca, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; 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.