BLADYS JOHANNA LOPEZ VILLANUEVA MEDICINE DOCTOR
NPI 1710669544
General Practice in Moca, PR

Active since August 02, 2023PECOS Enrolled
CARR 464 KM 2.4, BO ACEITUNAS, MOCA, PR 00676(787) 242-4366 Get Directions Write a Review

NPPES record last updated: March 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bladys Johanna Lopez Villanueva Medicine Doctor NPPES

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

BLADYS JOHANNA LOPEZ VILLANUEVA MEDICINE DOCTOR (NPI 1710669544) is an individual general practice provider in Moca, Puerto Rico, licensed in Puerto Rico (23512) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710669544
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameBLADYS JOHANNA LOPEZ VILLANUEVACredential: MEDICINE DOCTOR
Location AddressCARR 464 KM 2.4, BO ACEITUNASMoca, PR 00676
Mailing AddressHc 3 Box 9110Moca, PR 00676-9265 · (787) 242-4366
Sole ProprietorYes
Enumeration DateAugust 2, 2023
Last NPPES UpdateMarch 3, 2024
NPPES CertifiedMarch 3, 2024
NPI 1710669544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 23512
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Student HealthTaxonomy 261QS1000X

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bladys Johanna Lopez Villanueva Medicine Doctor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
CARR 464 KM 2.4, ACEITUNAS
MOCA, PR 00676

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 Bladys Lopez Villanueva's NPI number?

The NPI number for Bladys Lopez Villanueva is 1710669544. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Bladys Lopez Villanueva located?

Bladys Lopez Villanueva practices at Carr 464 Km 2.4 Bo Aceitunas, Moca, PR 00676. The listed phone number is (787) 242-4366.

What is Bladys Lopez Villanueva's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bladys Lopez Villanueva enrolled in Medicare?

Yes. Bladys Lopez Villanueva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bladys Lopez Villanueva was last updated on March 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.