Dr. Miguel A. Roman Villanueva, M.D
Clinic/Center, Federally Qualified Health Center (FQHC) in Hatillo, PR. Individual provider (NPI-1).
NPI number1801061981
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1801061981
- Entity type
- Individual (NPI-1)
- Name
- Dr. Miguel A. Roman Villanueva
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2008
- Certification date
- Jun 12, 2023
- Last updated
- Jun 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | 20339 | PR | Yes |
| 208D00000X | General Practice | 17126 | PR |
Practice location
Carr #2 Km 86.6 Int Marginal NorteHatillo, PR 00659-1847
Phone 787-898-4190 · Fax 787-898-3619
Mailing address
Po Box 907Hatillo, PR 00659-0907
Phone 787-898-4190 · Fax 787-262-3984
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