MEDICARE: DR. JUAN C VILA MD

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
1	207RC0000X	Cardiovascular Disease Physician	13993	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	21025	OTHER	BLUE CROSS BLUE SHIELD
3	2044245	OTHER	AETNA
4	225085	OTHER	AVMED
5	8639264001	OTHER	CIGNA
6	2505622	OTHER	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1932196151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN C VILA MD

Provider Business Mailing Address
First Line	:	3018 AVE ISLA VERDE
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00979-4843
Country	:	US
Telephone Number	:	787-726-7438
Fax Number	:	787-726-2827

Provider Business Practice Location Address
First Line	:	3018 AVE ISLA VERDE
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00979-4843
Country	:	US
Telephone Number	:	787-726-7438
Fax Number	:	787-726-2827

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	12/29/2014

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Directions to “ DR. JUAN C VILA MD” Practice Location

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