Individual
DR. JUAN CARLOS VICENTY PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
URB. TURABO GARDEN, CARR. PR 172, CAGUAS, PR 00726-6660
(787) 653-0550
Mailing address
PO BOX 2116, SAN JUAN, PR 00922-2116
(787) 754-0101
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
021744
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2012
Last updated
06/02/2021
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