Individual provider Active NPI

Vanessa Esther Vargas Villanueva, M.D

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1932142601
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15006 Issued in PR
Practice address
Villa Lucia a #15
Arecibo, PR 00612
Phone
(787) 379-2426
NPI assigned
Jun 13, 2006
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15006 PR Primary

Addresses

Primary practice location

Villa Lucia a #15
Arecibo, PR 00612

Mailing address

PO Box 142578
Arecibo, PR 00614-2578
Phone (787) 379-2426

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
I20061107000233 PR Practitioner - General Practice 1759388614 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Profesional Building Moreda Caban
Oficina 101
Arecibo, PR 00612
Phone (787) 878-6600

Villa Lucia
C2
Arecibo, PR 00612

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15006PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1932142601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142578",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142578",
            "telephone_number": "787-379-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA LUCIA A #15",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-379-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS VILLANUEVA",
        "first_name": "VANESSA",
        "middle_name": "ESTHER",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.