Individual
CARLOS EUGENIO CHAVEZ DE PAZ VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 VAN BUREN RD, CARIBOU, ME 04736
(207) 498-3111
Mailing address
PO BOX 480, CARIBOU, ME 04736-0480
(909) 252-2936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD22709
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2007
Last updated
01/27/2020
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