1. Home
  2. Directory
  3. NPI Profile

DR. WILMA VIRELLA-SANTANA M.D.
NPI 1609836113
Pathology - Anatomic Pathology & Clinical Pathology in San Juan, PR

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
85.79/100
CMS Quality Rating
PATOLOGIA RCM EDIF. PRINCIPAL OFIC. 391, CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOS, SAN JUAN, PR 00935(787) 758-2525(787) 754-0710 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Wilma Virella-santana M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILMA VIRELLA-SANTANA M.D. (NPI 1609836113) is an individual anatomic pathology & clinical pathology provider in San Juan, Puerto Rico, licensed in Puerto Rico (12527) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1992).

NPPES Registry Identity

NPI1609836113
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. WILMA VIRELLA-SANTANACredential: M.D.
Location AddressPATOLOGIA RCM EDIF. PRINCIPAL OFIC. 391, CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOSSan Juan, PR 00935
Mailing AddressPatologia Rcm, Po Box 29134San Juan, PR 00929-0134 · (787) 758-2525 · Fax (787) 754-0710
Phone(787) 758-2525
Fax(787) 754-0710
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1992
Enumeration DateMarch 27, 2006
Last NPPES UpdateMarch 26, 2013
✔ NPI 1609836113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in PR · 12527
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedSpecialist/Technologist, PathologyTaxonomy 246Q00000X · License 012527 (PR)

Other Identifiers 2

Medicare UPINH82203PR
Medicare PIN80860PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Wilma Virella-santana M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941267793
PECOS Enrollment IDI20041214000519
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
56 services19 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
33 services18 patients
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician G0124
This is a routine health check where a sample of cells is collected from the lower region of the female reproductive system. The sample is preserved and prepared using automated technology for detailed examination. A doctor interprets the results to check for any abnormalities.
28 services28 patients
Pap test, manual screening 88142
A Pap test is a routine procedure that checks for unusual changes in cells. During the manual screening, a small sample of cells is gently collected from the lower region of the body. These cells are then examined under a microscope to ensure your health.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.58
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilma Virella-santana's NPI number?

The NPI number for Wilma Virella-santana is 1609836113. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Wilma Virella-santana located?

Wilma Virella-santana practices at Patologia Rcm Edif. Principal Ofic. 391 Centro Medico De Puerto Rico, Bo. Monacillos, San Juan, PR 00935. The listed phone number is (787) 758-2525.

What is Wilma Virella-santana's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Wilma Virella-santana enrolled in Medicare?

Yes. Wilma Virella-santana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wilma Virella-santana was last updated on March 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.