Individual
RAUL LUIS VILCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12510 QUEENS BLVD, KEW GARDENS, NY 11415-1519
(718) 261-0444
(718) 261-0940
Mailing address
PO BOX 9608, UNIONDALE, NY 11555-9608
(718) 261-0444
(718) 261-0940
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
41816
KY
207RI0011X
Interventional Cardiology Physician
Primary
41816
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000584955
BCBS
KY
01
—
265821
LICENSE NUMBER
NY
05
—
7100055030
—
KY
Enumeration date
06/03/2008
Last updated
11/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us