Individual provider Active NPI

Ivonne Villanueva, R.P.T.

  • Physical Therapist
  • Bayamon, PR
National Provider Identifier
1821270075
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
887 Issued in PR
Practice address
S11 Ave Castiglioni
Bayamon Gardens
Bayamon, PR 00957-2430
Phone
(787) 317-9342
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 887 PR Primary

Addresses

Primary practice location

S11 Ave Castiglioni
Bayamon Gardens
Bayamon, PR 00957-2430

Mailing address

Calle 6 Bloque 6 #15 Seccion 3
Doraville
Dorado, PR 00646-5939
Phone (787) 317-9342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000119 PR Practitioner - Physical Therapist in Private Practice 0244319499 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Puerto Rico School of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Urb Bayamon Gardens
1 Ave Castiglioni
Bayamon, PR 00957-2421
Phone (787) 730-7484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
887PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Terapia Fisica TLC PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1821270075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 6 BLOQUE 6 #15 SECCION 3",
            "address_2": "DORAVILLE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006465939",
            "telephone_number": "787-317-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S11 AVE CASTIGLIONI",
            "address_2": "BAYAMON GARDENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572430",
            "telephone_number": "787-317-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "IVONNE",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.