# VILLAVICENCIO-CAMACHO&CO.,PEDIATRIC CARDIOLOGY ASSOCIATES PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518103522
- **Authorized official:** DR. RAFAEL E VILLAVICENCIO MD (PRESIDENT & CEO)
- **Authorized official phone:** (787) 764-3240

## Contact information

- **Practice address:** 400 AVE FRANKLIN D ROOSEVELT, SUITE 510, SAN JUAN, PR 00918-2103
- **Practice address phone:** (787) 765-1919
- **Practice address fax:** (787) 765-1918
- **Mailing address:** PO BOX 360894, SAN JUAN, PR 00936-0894
- **Mailing address phone:** (787) 764-3240
- **Mailing address fax:** (787) 751-9470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 13438 | PR | Yes |

## Other

- **Enumeration date:** 12/22/2008
- **Last updated:** 12/22/2008