Active NPI
Willnelsa Rey Robles, MD
- General Practice Physician
- Isabela, PR
National Provider Identifier
1962057075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 021487
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 021487 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Clinic LLC | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Quebradillas, PR
- NPI 1639016819
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.