Centro Villa Ortiz Medicina General CSP

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CENTRO VILLA ORTIZ MEDICINA GENERAL CSP

Practice address

18 Calle Bertoly
Ponce, PR 00730-3162

Phone

(787) 473-1030

Fax

(787) 984-2300

NPI assigned

Sep 19, 2014

Last updated

Mar 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Villa, M.D.NPI 1275591406

Title

President

Phone

(787) 473-1030

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Villa, M.D.

  • General Practice Physician
  • Ponce, PR
  • NPI 1275591406
  Authorized official Same address or phone

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1992107049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CALLE BERTOLY",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303162",
            "telephone_number": "787-473-1030",
            "fax_number": "787-984-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE BERTOLY",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303162",
            "telephone_number": "787-473-1030",
            "fax_number": "787-984-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO VILLA ORTIZ MEDICINA GENERAL CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-473-1030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.