Provider Demographics
NPI:1043274517
Name:VILLANUEVA-MEYER, SILVIA RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:RENEE
Last Name:VILLANUEVA-MEYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SILVIA
Other - Middle Name:RENEE
Other - Last Name:VILLANUEVA-MEYER DE BARCELO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 363887
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3887
Mailing Address - Country:US
Mailing Address - Phone:787-777-3535
Mailing Address - Fax:787-777-3702
Practice Address - Street 1:BO MONACILLO CARRETERA 22
Practice Address - Street 2:PASEO DR JOSE CELSO BARBOSA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-777-3535
Practice Address - Fax:787-777-3702
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7322207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41340Medicare UPIN