Individual provider Active NPI

Willnelsa Rey Robles, MD

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1962057075
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
021487 Issued in PR
Practice address
Hospital Cima Isabela
KM 1.1 Int Calle 112 Ave Agustin Ramos Calero
Isabela, PR 00662
Phone
(787) 830-2705
Fax
(787) 830-3059
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 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 021487 PR Primary

Addresses

Primary practice location

Hospital Cima Isabela
KM 1.1 Int Calle 112 Ave Agustin Ramos Calero
Isabela, PR 00662

Mailing address

Urb Estancias Paraiso
209 Calle Ciruelo
Isabela, PR 00662
Phone (787) 312-1243

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
I20191022002655 PR Practitioner - General Practice 3274865373 Practice locations: Isabela, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Urb Estancias Paraiso Num
209 Calle Ciruelo
Isabela, PR 00662

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021487PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Clinic LLC CurrentSince Aug 11, 2019 Accepting new patients

Organizations & group practices 1

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1962057075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ESTANCIAS PARAISO",
            "address_2": "209 CALLE CIRUELO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-312-1243",
            "fax_number": "787-830-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL CIMA ISABELA",
            "address_2": "KM 1.1 INT CALLE 112 AVE AGUSTIN RAMOS CALERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-2705",
            "fax_number": "787-830-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REY ROBLES",
        "first_name": "WILLNELSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "021487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.