NPI | 1760182547 |
---|---|
Other Name | WILFREDO JESUS VILLAFANE ORTIZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 17478I) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 17478I) |
Enumeration Date | 2023-03-09 |
Last Update Date | 2025-09-07 |