Provider Demographics
NPI:1982647418
Name:VILLAMIL, FERNANDO LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:LUIS
Last Name:VILLAMIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 AVE LUIS MUNOZ RIVERA
Mailing Address - Street 2:CARIBE PLAZA APARTMENT 1604
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901
Mailing Address - Country:US
Mailing Address - Phone:787-922-3310
Mailing Address - Fax:
Practice Address - Street 1:35 AVE LUIS MUNOZ RIVERA
Practice Address - Street 2:CARIBE PLAZA APARTMENT 1604
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901
Practice Address - Country:US
Practice Address - Phone:787-922-3310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14879207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine