Individual provider Active NPI

Juan C Vila, MD

  • Cardiovascular Disease Physician
  • Carolina, PR
National Provider Identifier
1932196151
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13993 Issued in PR
Practice address
3018 Ave Isla Verde
Carolina, PR 00979-4843
Phone
(787) 726-7438
Fax
(787) 726-2827
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13993 PR Primary

Addresses

Primary practice location

3018 Ave Isla Verde
Carolina, PR 00979-4843

Mailing address

3018 Ave Isla Verde
Carolina, PR 00979-4843
Phone (787) 726-7438

Other identifiers 6

IdentifierTypeStateIssuer
252001000MedicaidFL
21025OtherBLUE CROSS BLUE SHIELD
2044245OtherAETNA
225085OtherAVMED
8639264001OtherCIGNA
2505622OtherUNITED HEALTH CARE

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
I20080922000520 PR Practitioner - Cardiovascular Disease (Cardiology) 6709849292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardio Health CSPGroup PAC ID 6406921881, 5 clinicians

Practice addresses (Care Compare)

3018 Ave Isla Verde
Carolina, PR 00979-4844
Phone (787) 726-7438

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio Health CSP Cardiovascular Disease CurrentSince May 1, 2008 Accepting new patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease Past Accepting new patients

Locations

3018 Ave Isla Verde
Carolina, PR 00979
Phone (787) 726-7438

Organizations & group practices 2

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1932196151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 AVE ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794843",
            "telephone_number": "787-726-7438",
            "fax_number": "787-726-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 AVE ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794843",
            "telephone_number": "787-726-7438",
            "fax_number": "787-726-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILA",
        "first_name": "JUAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "13993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252001000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2044245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "225085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8639264001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2505622",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.