Doctor Name: | MARLA VIONETTE VILLAR |
NPI Number: | 1992817548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 013678 |
Business Practice Address: | Carretera 181, Km 9.2, Centro Comercial Dos Bocas Barrio Dos Bocas Trujillo Alto, PR - 00976 |
Business Phone Number: | 7877553322 |
Business Fax Number: | 7877553322 |
Mailing Address: | Po Box 1370, TRUJILLO ALTO |
State: | PR |
Postal Code: | 009771370 |
Phone Number: | 7872832146 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 08/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 013678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |