Gloria E Coya Villaraos, MD
Individual provider Active NPI Internal Medicine Physician · Guayanilla, PR
NPI 1740352160 · NPPES record last updated Feb 8, 2012
Key facts
- NPI
- 1740352160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 10791 (PR)
- Practice address
- 27 Calle Rufina
Guayanilla, PR 00656-1720 - Phone
- (787) 835-2870
- Fax
- (787) 835-2870
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27 Calle Rufina
Guayanilla, PR 00656
Rufina
Suite 27
Guayanilla, PR 00656
Phone (787) 308-5103
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120326000611 | PR | Practitioner - Internal Medicine | 4688834872 | Practice locations: Guayanilla, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Internal Medicine Group, Inc. | Internal Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10791 | PR | Yes |
Addresses
Primary practice location
27 Calle Rufina
Guayanilla, PR 00656-1720
Mailing address
PO Box 7953
Ponce, PR 00732
Phone (787) 835-2870
Other providers in Guayanilla, PR
- Jeanette Colon
- Community Health Education and Medical Services
- Francisco J Cordero-Vargas
- Dagmar Jomarie Correa
- Cynthia Cortes
- Dra Janitza R Delgado Moura L.L.C.
- Dra. Carmen Franceschini, PSC
- Farmacia Boriquen
- Farmacia Boriquen LLC.
- Farmacia Inmaculada LLC/Farmaplus
All providers in Guayanilla, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.