Individual
DR. ERIC VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 W DODGE RD, OMAHA, NE 68114-3327
(402) 354-8980
(402) 354-8992
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.075828
IL
208100000X
Physical Medicine & Rehabilitation Physician
125.075828
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36314
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2020
Last updated
08/30/2024
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