NPIMap

Individual provider Active NPI

Fernando Luis Villamil, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • San Juan, PR
National Provider Identifier
1982647418
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
14879 Issued in PR
Practice address
35 Ave Luis Munoz Rivera
Caribe Plaza Apartment 1604
San Juan, PR 00901
Phone
(787) 922-3310
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 14879 PR Primary

Addresses

Primary practice location

35 Ave Luis Munoz Rivera
Caribe Plaza Apartment 1604
San Juan, PR 00901

Mailing address

35 Ave Luis Munoz Rivera
Caribe Plaza Apartment 1604
San Juan, PR 00901
Phone (787) 922-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070917000048 PR Practitioner - Orthopedic Surgery 6002811254 Practice locations: San Juan, PR
I20180913000892 OK Practitioner - Orthopedic SurgeryPractitioner - Pain Management 6002811254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Pain Management
Education
Ponce School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10710 S Fir PL
Jenks, OK 74037-3026

505 E Main St
Jenks, OK 74037-4136
Phone 9188133901110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1013
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scuderia Spinale, PLLC Orthopaedic Surgery of the Spine CurrentSince Jul 1, 2020 Accepting new patients
Premier Orthopedic Specialists of Tulsa Orthopaedic Surgery CurrentSince Jan 6, 2024 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients
Massachusetts General Physicians Organization Inc Orthopaedic Surgery Past Accepting new patients

Locations

505 E Main St
Jenks, OK 74037
Phone (918) 813-3901

2448 E 81st St
Ste 1520
Tulsa, OK 74137
Phone (918) 481-2767

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFHGDD

Organizations & group practices 4

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1982647418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 AVE LUIS MUNOZ RIVERA",
            "address_2": "CARIBE PLAZA APARTMENT 1604",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-922-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 AVE LUIS MUNOZ RIVERA",
            "address_2": "CARIBE PLAZA APARTMENT 1604",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-922-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMIL",
        "first_name": "FERNANDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PR",
            "license": "14879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.