Individual
EDWIN VILLAFANE SAN INOCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
E54 CALLE MARGINAL, EXT FOREST HILLS, BAYAMON, PR 00959-5513
(787) 780-4341
(787) 780-4341
Mailing address
PO BOX 4115, BAYAMON, PR 00958-1115
(787) 780-4341
(787) 780-4341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5447
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR00001000
SUBMITTER NUMBER
PR
Enumeration date
08/01/2005
Last updated
07/01/2009
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