Individual
IDA Z VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 252-8551
(304) 252-1790
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 252-8551
(304) 252-1790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12015
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048917000
—
WV
05
—
14867
—
WV
01
—
205832
CARELINK
—
01
—
288986
UNITEDHEALTHCARE
—
05
—
A12015
—
WV
01
—
D49309
HEALTH NET
—
Enumeration date
10/03/2006
Last updated
07/17/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us