Villa Los Santos Advantage Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VILLA LOS SANTOS ADVANTAGE INC

Practice address

Urb Villa Los Santos
Calle 16 V 1
Arecibo, PR 00612

Phone

(787) 817-3144

Fax

(787) 879-4315

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Maria J Gonzalez, M.D.

Title

Administradora

Phone

(787) 817-3144

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1932309895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9091",
            "address_2": "COTTO STATION",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006139091",
            "telephone_number": "787-878-3144",
            "fax_number": "787-879-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA LOS SANTOS",
            "address_2": "CALLE 16 V 1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-817-3144",
            "fax_number": "787-879-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA LOS SANTOS ADVANTAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-817-3144",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "40011",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bertha Milagros Vicente
• Victor Salgado Cardiology,LLC
• Vidas En Balance
• Jacqueline Vidot, RPH
• Villa Los Santos Advance LLC
• Villa Los Santos Clinic (F)
• Villa Los Santos Clinic, LLC
• Villa Los Santos Clinic, LLC
• Villa Los Santos Clinic, LLC
• Villa Los Santos Clinic, LLC

• Family Medicine Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.