Healthcare Provider Details

I. General information

NPI: 1467385229
Provider Name (Legal Business Name): JUAN ELIAS VILLANUEVA-QUIRINO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N CAMPBELL AVE
TUCSON AZ
85719-4330
US

IV. Provider business mailing address

5401 N INDIAN TRL
TUCSON AZ
85750-6490
US

V. Phone/Fax

Practice location:
  • Phone: 915-355-2605
  • Fax:
Mailing address:
  • Phone: 915-355-2605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License NumberS021424
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: