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NPI Code Detail

MEDICARE: DR. JOSE EUGENIO VILLANUEVA M.D.

MEDICARE: DR. JOSE EUGENIO VILLANUEVA 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
12084P0800XPsychiatry Physician4118PR

General Provider Information

NPI Number : 1649258807
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE EUGENIO VILLANUEVA M.D.
Provider Business Mailing Address
First Line : 1379 PASEO DON JUAN
Second Line : APT. 9C
City : SAN JUAN
State : PR
Zip : 00907-1461
Country : US
Telephone Number : 787-765-2741
Fax Number : 787-724-6626
Provider Business Practice Location Address
First Line : 1056 AVE MUNOZ RIVERA
Second Line : STE 911
City : SAN JUAN
State : PR
Zip : 00927-5026
Country : US
Telephone Number : 787-765-2741
Fax Number : 787-724-6626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 02/16/2016

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Directions to “ DR. JOSE EUGENIO VILLANUEVA M.D.” Practice Location

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