Individual
DR. MAURICIO FERNANDO VILLAMAR DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 736-1011
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
274431
MA
2084N0400X
Neurology Physician
Primary
MD16954
RI
Other
Enumeration date
06/22/2014
Last updated
07/24/2020
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