Individual
CARLOS VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
Mailing address
PO BOX 724, AGUADA, PR 00602-0724
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9459993
FL
Other
Enumeration date
11/25/2017
Last updated
11/25/2017
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