Individual
DR. CORAL J VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6540 NW 114TH AVE APT 1403, DORAL, FL 33178-5604
(786) 859-3509
Mailing address
6540 NW 114TH AVE APT 1403, DORAL, FL 33178-5604
(786) 859-3509
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3285
FL
Other
Enumeration date
09/14/2007
Last updated
11/04/2008
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