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Individual

DR. JOSE L VILLANUEVA-APONTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
HOSPITAL INDUSTRIAL-CENTRO MEDICO, BO. MOANACILLOS, SAN JUAN, PR 00936
(787) 754-2525
(787) 767-3968
Mailing address
GARDENIS B-3, EXTENSION CAMPO ALEGRE, BAYAMON, PR 00956
(787) 269-3892
(787) 767-3968

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
25
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10450
STATE LICENSE
PR
01
BV09946-5
STATE NARCOTICS LICENSE
PR
01
JV2934924
FEDERAL NARCOTICS LICENSE
Enumeration date
03/27/2007
Last updated
07/08/2007
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