Provider Demographics
NPI:1457710014
Name:VILLEGAS LLC
Entity Type:Organization
Organization Name:VILLEGAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:VILLEGAS CEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-919-3156
Mailing Address - Street 1:360 CALLE DEL PARQUE STE 1
Mailing Address - Street 2:CIUDADELA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912
Mailing Address - Country:US
Mailing Address - Phone:787-919-3156
Mailing Address - Fax:787-919-3156
Practice Address - Street 1:360 CALLE DEL PARQUE SUITE 1
Practice Address - Street 2:CIUDADELA SUITE 1
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-0001
Practice Address - Country:US
Practice Address - Phone:787-919-3156
Practice Address - Fax:787-919-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty