Provider Demographics
NPI:1053501411
Name:VILLALBA-RAMOS, NADYA YANUSKA (MD)
Entity Type:Individual
Prefix:
First Name:NADYA
Middle Name:YANUSKA
Last Name:VILLALBA-RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 CALLE REY LUIS
Mailing Address - Street 2:LA VILLA DE TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3170
Mailing Address - Country:US
Mailing Address - Phone:787-366-5551
Mailing Address - Fax:
Practice Address - Street 1:611 CALLE DR PAVIA FERNANDEZ
Practice Address - Street 2:PAVIA MEDICAL PLAZA SUITE 209
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-2244
Practice Address - Country:US
Practice Address - Phone:787-728-2318
Practice Address - Fax:787-728-2359
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR17876261QS0132X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery