Vilca, Raul Luis

Vilca, Raul Luis is an individual health care provider with primary practice located at 12510 Queens Blvd , Kew Gardens NY 11415-1519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Vilca, Raul Luis can be contacted via phone (718) 261-0444.

Contact Information

Primary practice address
12510 Queens Blvd Kew Gardens NY 11415-1519
Phone: (718) 261-0444
Fax: (718) 261-0940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 41816 Kentucky
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 41816 Kentucky

Profile Details

NPI number 1447419726
LBN Legal business name Vilca, Raul Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Nov 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447419726 NPPES
Kentucky MEDICAID 7100055030
Kentucky Other 265821
Kentucky Other 000000584955

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