Provider Demographics
NPI:1336291053
Name:VILLANUEVA RODRIGUEZ, HECTOR LUIS (MD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:LUIS
Last Name:VILLANUEVA RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:ELEMIR 101 ALTURAS DE SANTA MARIA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4722
Mailing Address - Country:US
Mailing Address - Phone:787-378-9879
Mailing Address - Fax:787-727-3695
Practice Address - Street 1:2020 AVE BORINQUEN
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00915-3822
Practice Address - Country:US
Practice Address - Phone:787-268-4171
Practice Address - Fax:787-727-3695
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR82182080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine