Individual provider Active NPI

Jaime Jose Claudio Villamil, M.D

  • Family Medicine Physician
  • San Juan, PR
National Provider Identifier
1902813504
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6335 Issued in PR
Practice address
496 Calle Sirio
Altamira
San Juan, PR 00920-4241
Phone
(787) 792-9026
Fax
(787) 783-7005
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6335 PR Primary

Addresses

Primary practice location

496 Calle Sirio
Altamira
San Juan, PR 00920-4241

Mailing address

49 Calle Capri
Paseo Las Brisas
San Juan, PR 00926-5947
Phone (787) 792-9026

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120316000551 PR Practitioner - Family Practice 6406015031 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

496 Calle Sirio
San Juan, PR 00920-4241
Phone (787) 792-9026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1902813504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CALLE CAPRI",
            "address_2": "PASEO LAS BRISAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265947",
            "telephone_number": "787-792-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 CALLE SIRIO",
            "address_2": "ALTAMIRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204241",
            "telephone_number": "787-792-9026",
            "fax_number": "787-783-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUDIO VILLAMIL",
        "first_name": "JAIME",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "6335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.