| Mr Ivan Rafael Villar Rivera, | |
|
13619 41st Ave Fl 2, Flushing, NY 11355-2469 | |
| (718) 886-8826 | |
| Not Available |
| Full Name | Mr Ivan Rafael Villar Rivera |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 13619 41st Ave Fl 2, Flushing, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447882428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York Luna Care Physical Therapy Pllc | 0840604666 | 127 |
| Provider Name | Jimmy He Medical Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619213600 PECOS PAC ID: 1759535826 Enrollment ID: O20130128000095 |
| Provider Name | New York Luna Care Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194314062 PECOS PAC ID: 0840604666 Enrollment ID: O20210205001168 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ivan Rafael Villar Rivera, 13619 41st Ave Fl 2, Flushing, NY 11355-2469 Ph: (718) 886-8826 | Mr Ivan Rafael Villar Rivera, 13619 41st Ave Fl 2, Flushing, NY 11355-2469 Ph: (718) 886-8826 |
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