Active NPIIndividual providerSole proprietor

Bladys J Lopez Villanueva, MEDICINE DOCTOR

General Practice in Moca, Puerto Rico

NPI Number1710669544
Practice location
Carr 464 Km 2.4, Bo Aceitunas, Moca, PR 00676
Fax
—
Last updated
March 3, 2024

Bladys Johanna Lopez Villanueva is a General Practice based in Moca, PR. Bladys Johanna Lopez Villanueva practices in Moca, PR and has the professional credentials of MEDICINE DOCTOR. The NPI Number for Bladys Johanna Lopez Villanueva is 1710669544 and holds a License No. 23512 (PR). The current practice location address for Bladys Johanna Lopez Villanueva is Carr 464 Km 2.4, Bo Aceitunas, Moca, PR 00676 and can be reached out via phone at 787-242-4366.

Provider Profile Details

NPI Number
1710669544
Provider Name
Bladys Johanna Lopez Villanueva
Credential
MEDICINE DOCTOR
Provider Entity Type
Individual
Gender
Female
Address
Carr 464 Km 2.4, Bo Aceitunas, Moca, PR 00676
Phone Number
787-242-4366
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 2, 2023
Last Update Date
March 3, 2024
Certification Date
March 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 464 Km 2.4
Bo Aceitunas
Moca, PR 00676
City
Moca
Zip
00676
Phone Number
787-242-4366
Moca, PR 00676Get directions →

Provider Business Mailing Address Details

Address
Hc 3 Box 9110
Moca, PR 00676-9265
City
Moca
State
PR
Zip
00676-9265
Phone Number
787-242-4366

License Information

License State (1)
PR
License Number (2)
23512
License State (2)
PR
Taxonomy (2)
General Practice · 208D00000X · Primary
License State (3)
PR
Taxonomy (3)
Clinic/Center, Student Health · 261QS1000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bladys J Lopez Villanueva, MEDICINE DOCTOR?

The NPI number of Bladys J Lopez Villanueva, MEDICINE DOCTOR is 1710669544. It was assigned on August 2, 2023 and is currently active in the NPPES registry.

What is the specialty of Bladys J Lopez Villanueva, MEDICINE DOCTOR?

Bladys J Lopez Villanueva, MEDICINE DOCTOR is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 23512.

Where does Bladys J Lopez Villanueva, MEDICINE DOCTOR practice?

The practice location is Carr 464 Km 2.4, Bo Aceitunas, Moca, PR 00676. The office can be reached at 787-242-4366 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710669544 directly on the NPPES registry website.

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