Individual
ELYNETTE VARGAS VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
SERGIO CUEVAS, HATO REY, PR 00927
(787) 758-8383
Mailing address
424 NORTHCOAST VLG, VEGA ALTA, PR 00692-8717
(787) 213-3319
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23001
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2021
Last updated
12/15/2022
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