Provider Demographics
NPI:1386180909
Name:VILLARRUBIA OCASIO, LISSELLE M (MD, MPH)
Entity type:Individual
Prefix:
First Name:LISSELLE
Middle Name:M
Last Name:VILLARRUBIA OCASIO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 735
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-0735
Mailing Address - Country:US
Mailing Address - Phone:787-349-3525
Mailing Address - Fax:
Practice Address - Street 1:2213 PONCE BYPASS
Practice Address - Street 2:HOSPITAL DAMAS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-840-8686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-07
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19532207R00000X
NMRS2019-0857390200000X
PR019532207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program