Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Luis S Vilella-Gonzalez, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1568853760

Luis S Vilella-Gonzalez, MD is a Physical Medicine and Rehabilitation in Fargo, North Dakota. Graduated from San Juan Bautista School of Medicine in 1984, 42 years ago. Practices with State of New Mexico, a 2-clinician group and accepts Medicare assignment. Licensed in North Dakota and New Mexico.

Years since qualifying
42
Trained at
San Juan Bautista School of Medicine
Licensed in
ND, NM
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4671 38th St S
Fargo, ND 58104-7866
Phone: (877) 749-7428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 9273 (ND)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MD2005-0853 (NM)

Record details

NPI number1568853760
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2015
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolSAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice State Of New Mexico — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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