Doctor Name: | JOSE R VILLABRILLE |
NPI Number: | 1053413427 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 14233 |
Business Practice Address: | Carbonell 53 Local 1 Cabo Rojo, PR - 00623 |
Business Phone Number: | 7872541800 |
Business Fax Number: | |
Mailing Address: | Pmb 295 Po Box 5103, CABO ROJO |
State: | PR |
Postal Code: | 006235103 |
Phone Number: | 7872541800 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |