BLADYS J LOPEZ VILLANUEVA, MEDICINE DOCTOR MOCA, PR

Contact Information

BLADYS J LOPEZ VILLANUEVA, MEDICINE DOCTOR

CARR 464 KM 2.4
BO ACEITUNAS
MOCA, PR 00676

Phone: 787-242-4366
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Student Health	261QS1000X
Student in an Organized Health Care Education/Training Program	390200000X

Indicates primary specialty

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NPI Profile & details for BLADYS J LOPEZ VILLANUEVA · (Female)

NPI #	`1710669544`
Status	Active
Credentials	MEDICINE DOCTOR
Entity	Individual
Enumeration date	08/02/2023
Last updated	03/03/2024 - About 2 years ago
Sole proprietor ¹	Yes
Identifiers	PR License # 23512
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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