Jose M Villanueva Sr., PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

138 Issued in PR

Practice address

Villa Nevarez Prof. Center
404 B
San Juan, PR 00927

Phone

(787) 960-1269

Fax

(787) 276-8969

NPI assigned

Aug 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jose Villanueva Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1992938658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 14",
            "address_2": "G105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266260",
            "telephone_number": "787-789-8596",
            "fax_number": "787-276-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA NEVAREZ PROF. CENTER",
            "address_2": "404 B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-960-1269",
            "fax_number": "787-276-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "VILLANUEVA",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carlos Adrian Villanueva Soto, MD
• Jose L Villanueva-Aponte, MD
• Silvia Renee Villanueva-Meyer, M.D.
• Alberto Rene Villanueva, M.D.
• Jose Eugenio Villanueva, M.D.
• Suheily Villanueva
• Yaimarie Villanueva
• Alejandro Villar-Prados, PHD
• Maria B. Villar-Prados, M.D.
• Felix Villar

• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.