Provider Demographics
NPI:1417275389
Name:VILAR, NILSE MARIA (OD)
Entity Type:Individual
Prefix:DR
First Name:NILSE
Middle Name:MARIA
Last Name:VILAR
Suffix:
Gender:F
Credentials:OD
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 1995
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-1995
Mailing Address - Country:US
Mailing Address - Phone:787-636-8232
Mailing Address - Fax:
Practice Address - Street 1:NEW VISION BAYAMON MEDICAL BUILDING
Practice Address - Street 2:AVE. BETANCES
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00970-1995
Practice Address - Country:US
Practice Address - Phone:787-636-8232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR537152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist