Individual
GUILLERMO JOSE VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN-BSN
Contact information
Practice address
EDIFICIO VIG TOWER AVE PONCE DE LEON#1225, SAN JUAN, PR 00907
(787) 723-4907
Mailing address
PROFESSIONAL OFFICE PARK-BUILDING V PFIZER TOWER, SAN JUAN, PR 00927
(787) 641-9133
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
88154
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4903472
DRIVER LIC.
PR
01
—
88154
LIC. BSN-RN
PR
Enumeration date
12/19/2018
Last updated
12/19/2018
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