Individual
LUIS NICOLAS VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17898
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942432
—
AL
05
—
120427
—
AL
01
—
511-07728
BCBS
AL
01
—
51540532
BCBS
AL
01
—
F046
MEDICARE GROUP NPI
AL
Enumeration date
01/10/2006
Last updated
08/23/2010
Update your record
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