Active NPI
Genesis Collado Villafane, DMD
- Prosthodontics
- Juncos, PR
National Provider Identifier
1871314112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 3519
- Practice address
- 10 Calle Almodovar
Juncos, PR 00777 - Phone
- (787) 734-6546
- NPI assigned
- Oct 19, 2024
- Last updated
- May 11, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 3519 | PR | Primary |
Addresses
Primary practice location
10 Calle Almodovar
Juncos, PR 00777
Mailing address
PO Box 1741
Caguas, PR 00726-1741
Phone (787) 223-2297
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251205002157 | PR | Order and Referring Only - Dentist | 3072006188 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3519 | PR | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746921600000",
"number": "1871314112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1741",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007261741",
"telephone_number": "787-223-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE ALMODOVAR",
"city": "JUNCOS",
"state": "PR",
"postal_code": "00777",
"telephone_number": "787-734-6546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLADO VILLAFANE",
"first_name": "GENESIS",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-19",
"last_updated": "2025-05-11",
"certification_date": "2025-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PR",
"license": "3519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juncos, PR
- Nelcha Chiclana Montanez, CPHT
- Alexandra Cid Aponte
- Clinica del Desarrollo de la Ninez Inc
- Clinica Las Americas Guaynabo, Inc (Salus @ Work Medtronic - FFS)
- Clinica Las Americas Guaynabo, Inc (Salus)
- Samiris Collazo-Rodriguez, PSY.D.
- Maria I Collazo
- Colon & Fernandez Acupuncture PSC
- Ismael Colon Calderon, MD
- Alex Javier Colon, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.