Individual provider Active NPI

Wilfredo Viera Figueroa, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1790827293
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5300 Issued in PR
Practice address
A5 Calle 1
Ext Colinas Verdes
San Juan, PR 00924-5306
Phone
(787) 381-7945
Fax
(787) 757-1594
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5300 PR Primary

Addresses

Primary practice location

A5 Calle 1
Ext Colinas Verdes
San Juan, PR 00924-5306

Mailing address

A5 Calle 1
Ext Colinas Verdes
San Juan, PR 00924-5306
Phone (787) 381-7945

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
I20040120000246 PR Practitioner - General Practice 4284535410 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5300PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790827293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A5 CALLE 1",
            "address_2": "EXT COLINAS VERDES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009245306",
            "telephone_number": "787-381-7945",
            "fax_number": "787-757-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A5 CALLE 1",
            "address_2": "EXT COLINAS VERDES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009245306",
            "telephone_number": "787-381-7945",
            "fax_number": "787-757-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERA FIGUEROA",
        "first_name": "WILFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.