Provider Demographics
NPI:1144410986
Name:VILELLA SUAU, FELIX S (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:S
Last Name:VILELLA SUAU
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:CONDOMINIO PLAZA REAL CADARRA
Mailing Address - Street 2:APT 309
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-783-4459
Mailing Address - Fax:787-781-2766
Practice Address - Street 1:U34 CAILRATERA 21 URB LAS COMAS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-782-5515
Practice Address - Fax:787-781-2766
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR2184208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery