Individual
DR. WANDA I VILLANUEVA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HC 2 BOX 6355, BAJADERO, PR 00616-9760
(407) 893-0918
Mailing address
HC 2 BOX 6355, BAJADERO, PR 00616-9760
(407) 893-0918
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14440
PR
208D00000X
General Practice Physician
Primary
ACN706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015593700
—
FL
01
—
IH341Z
FLORIFA MEDICARE
FL
Enumeration date
03/30/2007
Last updated
04/23/2026
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