NPI | 1740050236 |
---|---|
Professional Name | LUIS HILARIO VILLANUEVA PONTE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11030257) |
Enumeration Date | 2024-01-04 |
Last Update Date | 2024-01-04 |