Provider Demographics
NPI:1386669992
Name:VILLAR HERNANDEZ, FELIX X (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:X
Last Name:VILLAR HERNANDEZ
Suffix:
Gender:M
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:PO BOX 1370
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-1370
Mailing Address - Country:US
Mailing Address - Phone:787-241-9417
Mailing Address - Fax:787-961-3678
Practice Address - Street 1:CARR 852 KM 1.2
Practice Address - Street 2:BO. DOS BOCAS
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-0097
Practice Address - Country:US
Practice Address - Phone:787-241-9417
Practice Address - Fax:787-961-3678
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16047208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0023853Medicare ID - Type UnspecifiedPROVIDER NUMBER