Individual
JAN PAUL VILLANUEVA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 365067, SAN JUAN, PR 00936-5067
(787) 219-0429
Mailing address
PO BOX 365067, SAN JUAN, PR 00936-5067
(787) 219-0429
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PR
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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