Individual
WILFREDO AUSTIN VILLARRUBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
146 E HOSPITAL DR STE 550, WEST COLUMBIA, SC 29169-4843
(803) 936-7140
(803) 936-7412
Mailing address
1100 LONG POND ROAD, SUITE 250, ROCHESTER, NY 14626-4122
(585) 368-4350
(585) 227-7324
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
020884
NY
363AM0700X
Medical Physician Assistant
Primary
4990
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04794932
—
NY
Enumeration date
06/15/2017
Last updated
03/21/2025
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