Israel J Villanueva Matos, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21548 Issued in PR

Practice address

B5 Urb San Cristobal
Aguada, PR 00602-2692

Phone

(787) 868-2803

NPI assigned

Aug 29, 2019

Last updated

Jan 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Locations

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.

• Puerto Rico Primary Care Mso, Inc. - CDT Luquillo

  • Emergency Care Clinic/Center
  • Luquillo, PR
  • NPI 1134873235
  Medicare reassignment NPD
• Puerto Rico Primary Care Mso, Inc. - Radiologia

  • Radiology Clinic/Center
  • Luquillo, PR
  • NPI 1306590419
  NPD
• Puerto Rico Primary Care, Mso, Inc. - Laboratorio

  • Clinical Medical Laboratory
  • Luquillo, PR
  • NPI 1952055055
  NPD
• Idelis Fedeslinda Arias de la Torre

  • General Practice Physician
  • Seffner, FL
  • NPI 1639747595
  NPD (past)
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1912579673
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1780232033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B5 URB SAN CRISTOBAL",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022692",
            "telephone_number": "787-868-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B5 URB SAN CRISTOBAL",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022692",
            "telephone_number": "787-868-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA MATOS",
        "first_name": "ISRAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velazquez Infectious Diseases Services P.S.C.
• Jean Desiree Velez Echevarria
• Frankie Velez, DC
• Monica Velez, D.M.D.
• Marisell Vera-Maldonado
• Angelica Villanueva, MSPT
• Heidi A Villanueva, O.D.
• Natysha Yarie Villarrubia Ruiz
• Visual Gallery P.S.C.
• West Health Care LLC

• General Practice Physician in Aguada, PR
• Providers in Aguada, 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 Jan 22, 2025; 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.