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NPI Code Detail

MEDICARE: DR. ALICIA T VILA M.D.

MEDICARE: DR. ALICIA T VILA 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 Physician7577PR

General Provider Information

NPI Number : 1740248574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALICIA T VILA M.D.
Provider Business Mailing Address
First Line : 2852 VILLA FLORES
Second Line :
City : PONCE
State : PR
Zip : 00716-2914
Country : US
Telephone Number : 787-843-0836
Fax Number :
Provider Business Practice Location Address
First Line : 1010 PASEO DEL VETERANO
Second Line :
City : PONCE
State : PR
Zip : 00716-2001
Country : US
Telephone Number : 787-812-3030
Fax Number : 787-651-4334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 07/08/2007

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