Individual
DAVID LEONARDO VILLAFUERTE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 FRANCISCAN WAY STE 400, MICHIGAN CITY, IN 46360-0033
(219) 861-8785
(219) 861-8789
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01093727A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01093727A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
T0378
TX
207RP1001X
Pulmonary Disease Physician
Primary
01093727A
IN
207RP1001X
Pulmonary Disease Physician
T0378
TX
Other
Enumeration date
06/12/2015
Last updated
04/07/2025
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