Most Relevant Information
Provider Data
| NPI Number: | 1003541442 |
| Provider Name: | CARLOS ADRIAN VILLANUEVA SOTO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/20/2022 |
| Last Updated: | 07/20/2022 |
Provider Practice Location
CARR #129 BO. CAMPO ALEGRE
HATILLO
PR
006599604
Practice Location Phone/Fax
| Phone: | 7872481328 |
| Fax: |
Provider Mailing Location
HC 7 BOX 32568
HATILLO
PR
006599604
Provider Mailing Phone/Fax
| Phone: | 7872481328 |
| Fax: |