| Villar, LLC | |
|
484 Camino De Los Nogales Gurabo PR 00778-5252 | |
| (787) 241-9417 | |
| (787) 961-3678 |
| Full Name | Villar, LLC |
|---|---|
| Speciality | General Practice |
| Location | 484 Camino De Los Nogales, Gurabo, Puerto Rico |
| Authorized Official Name and Position | Felix Villar Hernandez (PRESIDENTE) |
| Authorized Official Contact | 7872419417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Villar, LLC Po Box 1370 Trujillo Alto PR 00977-1370 Ph: (787) 241-9417 | Villar, LLC 484 Camino De Los Nogales Gurabo PR 00778-5252 Ph: (787) 241-9417 |
| NPI Number | 1912690306 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Medicare PECOS PAC ID | 1951747252 |
|---|---|
| Medicare Enrollment ID | O20240308002454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912690306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Felix X Villar Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386669992 PECOS PAC ID: 9335163575 Enrollment ID: I20060116000077 |
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