Active NPI
Kiomaris Michelle Nieves Villanueva
- Pharmacist
- Guaynabo, PR
National Provider Identifier
1801499421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6803
- Practice address
- 35 Calle Juan C Borbon Ste 77
Guaynabo, PR 00969-5375 - Phone
- (787) 287-3725
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6803 | PR | Primary |
Addresses
Primary practice location
35 Calle Juan C Borbon Ste 77
Guaynabo, PR 00969-5375
Mailing address
HC 04 Box 726
Utuado, PR 00641
Phone (787) 412-6212
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6803 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Guaynabo, PR
- NPI 1073528139
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1801499421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 04 BOX 726",
"city": "UTUADO",
"state": "PR",
"postal_code": "00641",
"telephone_number": "787-412-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 CALLE JUAN C BORBON STE 77",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695375",
"telephone_number": "787-287-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES VILLANUEVA",
"first_name": "KIOMARIS",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.