Provider Demographics
NPI:1962446187
Name:MONLLOR, LILLIAM I (MD)
Entity Type:Individual
Prefix:DR
First Name:LILLIAM
Middle Name:I
Last Name:MONLLOR
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:EXT. VILLA RICA J8 CALLE 9
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-5010
Mailing Address - Country:US
Mailing Address - Phone:787-605-5255
Mailing Address - Fax:
Practice Address - Street 1:EXT. VILLA RICA J8 CALLE 9
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5010
Practice Address - Country:US
Practice Address - Phone:787-605-5255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15024208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR22135Medicare ID - Type Unspecified