Individual
DR. RAUL D VILLALOBOS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CAROLINA SHOPPING COURT, SUITE 201 A, CAROLINA, PR 00982
(787) 767-8758
(844) 759-2966
Mailing address
480 CALLE CESAR GONZALEZ, HATO REY, SAN JUAN, PR 00918-2627
(787) 767-8758
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13041
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11041
LICENSE
PR
05
—
3771800
—
PR
Enumeration date
08/21/2006
Last updated
07/23/2024
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