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Individual

DR. MIGUEL A. ROMAN VILLANUEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
CARR #2 KM 86.6 INT MARGINAL NORTE, HATILLO, PR 00659-1847
(787) 898-4190
(787) 898-3619
Mailing address
PO BOX 907, HATILLO, PR 00659-0907
(787) 898-4190
(787) 262-3984

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
17126
PR
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
20339
PR

Other

Enumeration date
04/29/2008
Last updated
06/23/2023
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