IndividualActive
Leo Villavicencio
NPI 1629821475 · General Practice Registered Nurse · Detroit, MI
Leo Villavicencio is a General Practice Registered Nurse provider in Detroit, MI (NPI 1629821475).
Provider details
- NPI number
- 1629821475
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4704195807 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Street-level locationGet directions
Mailing address
1871 Lakewood Dr
Troy, MI 48083-5520
Registry dates
- Enumerated
- 2024-04-10
- Last updated
- 2024-04-10
- Certified
- 2024-04-10
Frequently asked questions
- What is Leo Villavicencio's NPI number?
- Leo Villavicencio's National Provider Identifier (NPI) is 1629821475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Leo Villavicencio's specialty?
- Leo Villavicencio is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse (Nursing Service Providers).
- Where is Leo Villavicencio located?
- Leo Villavicencio's practice location on file with NPPES is 4646 John R St, Detroit, MI 48201-1916.
- What is Leo Villavicencio's phone number?
- The practice phone number listed in the NPPES registry for Leo Villavicencio is (313) 576-1000.
- Is Leo Villavicencio's NPI active?
- Yes — Leo Villavicencio's NPI (1629821475) is active in the NPPES registry as of the last update on 2024-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.