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NPI Code Detail

MEDICARE: DR. MARIEBERNADETTE SABANAL VILLANUEVA MD, MPH

MEDICARE: DR. MARIEBERNADETTE SABANAL VILLANUEVA MD, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician70859AZ

General Provider Information

NPI Number : 1184918039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIEBERNADETTE SABANAL VILLANUEVA MD, MPH
Provider Business Mailing Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-1045
Fax Number : 520-505-5923
Provider Business Practice Location Address
First Line : 8290 S HOUGHTON RD STE 150
Second Line :
City : TUCSON
State : AZ
Zip : 85747-9725
Country : US
Telephone Number : 520-694-1045
Fax Number : 520-505-5923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2011
Last Update Date : 05/16/2026

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