Doris A Villalta, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

016268 Issued in PR

Practice address

Pediatric University Hospital Third Floor C
Medical Center
San Juan, PR 00936-0000

Phone

(787) 777-3535

Fax

(787) 764-7004

NPI assigned

Jun 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982809554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET 4 NUMBER B7",
            "address_2": "HACIENDAS DE BORIQUEN",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009530000",
            "telephone_number": "787-378-7068",
            "fax_number": "787-764-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEDIATRIC UNIVERSITY HOSPITAL THIRD FLOOR C",
            "address_2": "MEDICAL CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360000",
            "telephone_number": "787-777-3535",
            "fax_number": "787-764-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALTA",
        "first_name": "DORIS",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "016268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTER NURSE",
            "identifier": "016268",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waleska M. Villalobo, PHARMACY TECHNICIAN
• Claudio A Villalobos Aravena
• Raul Javier Villalobos Melendez
• Javier Villalobos, MD
• Raul D Villalobos
• Fernando Luis Villamil, M.D.
• Juanita Villamil, DMD
• Maria De L Villanil, MD
• Albert William Villanueva Caraballo
• Eyla Juliana Villanueva Ferrer

• Registered Nurse in San Juan, PR
• Providers in San Juan, PR by specialty
• Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.