Active NPI
Edwin Alexis Villanueva Sierra, DC
- Chiropractor
- Sabana Seca, PR
National Provider Identifier
1801596176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 000892
- Practice address
- 46146 Calle Parque N
Sabana Seca, PR 00952-4383 - Phone
- (787) 385-8306
- NPI assigned
- Mar 6, 2023
- Last updated
- Mar 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 000892 | PR | Primary |
Addresses
Primary practice location
46146 Calle Parque N
Sabana Seca, PR 00952-4383
Mailing address
46146 Calle Parque N
Sabana Seca, PR 00952-4383
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 |
|---|---|---|---|
| 000892 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1801596176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46146 CALLE PARQUE N",
"city": "SABANA SECA",
"state": "PR",
"postal_code": "009524383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46146 CALLE PARQUE N",
"city": "SABANA SECA",
"state": "PR",
"postal_code": "009524383",
"telephone_number": "787-385-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA SIERRA",
"first_name": "EDWIN",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "000892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sabana Seca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.