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Dr. Alberto Rene Villanueva

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NPI Number Detailed Information

Provider Information:

Name: Dr. Alberto Rene Villanueva
Gender: M
Provider License Number If Given: 14610

NPI Information:

NPI: 1164417630
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 12/29/2016

Provider Business Mailing Address:

Address: PO BOX 33034
San Juan, PR 00933
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 10 CALLE CASIA
San Juan, PR 00921
Phone Number: 7876417582
Fax Number:

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any): 207RG0300X
State: PR