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NPI Code Detail

MEDICARE: DR. ELENA RONQUILLO BUENVIAJE M.D.

MEDICARE: DR. ELENA RONQUILLO BUENVIAJE M.D.
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 Physician25MA02680500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215938220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELENA RONQUILLO BUENVIAJE M.D.
Provider Business Mailing Address
First Line : 65 LACEY RD
Second Line : SUITE A
City : WHITING
State : NJ
Zip : 08759-2985
Country : US
Telephone Number : 732-350-0404
Fax Number : 732-350-2001
Provider Business Practice Location Address
First Line : 65 LACEY RD
Second Line : SUITE A
City : WHITING
State : NJ
Zip : 08759-2985
Country : US
Telephone Number : 732-350-0404
Fax Number : 732-350-2001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 01/11/2026

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