Individual provider Active NPI

Tulio M Villanueva Rozas, MD

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1952913709
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15-377-I Issued in PR
Practice address
Calle Hernandez Carrion Carr#2
Interceccion 668 Urb Atenas
Manati, PR 00674-1142
Phone
(787) 621-3700
NPI assigned
Aug 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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 15-377-I PR Primary

Addresses

Primary practice location

Calle Hernandez Carrion Carr#2
Interceccion 668 Urb Atenas
Manati, PR 00674-1142

Mailing address

Calle Hernandez Carrion Carr#2
Interceccion 668 Urb Atenas
Manati, PR 00674-1142
Phone (787) 621-3700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Manati

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
I20230201000326 PR Practitioner - General Practice 8729459672 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-377-IPRMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: tulio.villanuevarozas@4263.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1952913709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE HERNANDEZ CARRION CARR#2",
            "address_2": "INTERCECCION 668 URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741142",
            "telephone_number": "787-621-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNANDEZ CARRION CARR#2",
            "address_2": "INTERCECCION 668 URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741142",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA ROZAS",
        "first_name": "TULIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15-377-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Manati",
            "affiliation": "N",
            "address_1": "CALLE HERNANDEZ CARRION CARR#2",
            "address_2": "Interceccion 668 URB ATENAS",
            "city": "Manati",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006741142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.