1184056012 NPI number — DR. VICTORIA S. LARRIEUX VILLANUEVA PHD

Table of content: DR. VICTORIA S. LARRIEUX VILLANUEVA PHD (NPI 1184056012)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184056012 NPI number — DR. VICTORIA S. LARRIEUX VILLANUEVA PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LARRIEUX VILLANUEVA
Provider First Name:
VICTORIA
Provider Middle Name:
S.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LARRIEUX
Provider Other First Name:
VICTORIA
Provider Other Middle Name:
S.
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1184056012
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
631 CALLE ASTURIAS
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YAUCO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00698-2576
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-688-0862
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
66 CALLE MATTEI LLUBERAS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YAUCO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00698-3632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-688-0862
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  6226 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com