Organization Active NPI

Dr Ricardo Villalobos Gonzalez PSC

  • Neurology Physician
  • Ponce, PR
National Provider Identifier
1861804197
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
16476 Issued in PR
Legal business name
DR RICARDO VILLALOBOS GONZALEZ PSC
Practice address
909 Ave Tito Castro Ste 804
Torremedica San Lucas
Ponce, PR 00716-4725
Phone
(787) 648-8115
Fax
(787) 651-1498
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Ricardo Villalobos, MD
Title
President
Phone
(787) 648-8115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 16476 PR Primary

Addresses

Primary practice location

909 Ave Tito Castro Ste 804
Torremedica San Lucas
Ponce, PR 00716-4725

Mailing address

909 Ave Tito Castro Ste 804
Torremedica San Lucas
Ponce, PR 00716-4725
Phone (787) 648-8115

Other identifiers 1

IdentifierTypeStateIssuer
337402OtherPRCERTIFICADO DE REGISTRO DEPARTAMENTO DE ESTADO PUERTO RICO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1861804197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 804",
            "address_2": "TORREMEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-648-8115",
            "fax_number": "787-651-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 804",
            "address_2": "TORREMEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-648-8115",
            "fax_number": "787-651-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICARDO VILLALOBOS GONZALEZ PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-648-8115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "16476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICADO DE REGISTRO DEPARTAMENTO DE ESTADO PUERTO RICO",
            "identifier": "337402",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.