Organization
VILLAVICENCIO-CAMACHO&CO.,PEDIATRIC CARDIOLOGY ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL E VILLAVICENCIO MD (PRESIDENT & CEO)
(787) 764-3240
Entity
Organization
Contact information
Practice address
400 AVE FRANKLIN D ROOSEVELT, SUITE 510, SAN JUAN, PR 00918-2103
(787) 765-1919
(787) 765-1918
Mailing address
PO BOX 360894, SAN JUAN, PR 00936-0894
(787) 764-3240
(787) 751-9470
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
13438
PR
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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