Individual
GUSTAVO ALBERTO RODRIGUEZ VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
COND. TORRES DE ANDALUCIA II, 2 CALLE ALMONTE APT 1801, SAN JUAN, PR 00926-2437
(787) 309-6325
Mailing address
COND. TORRES DE ANDALUCIA II, CALLE ALMONTE 2 APT 1801, SAN JUAN, PR 00926
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
72444
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72444
STATE LICENSE
PR
Enumeration date
11/18/2020
Last updated
10/28/2022
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