Villanueva Del Rio, Carlos Alfonso

Villanueva Del Rio, Carlos Alfonso is an individual health care provider with primary practice located at 1920 E Cambridge Ave Ste 302 , Phoenix AZ 85006-1464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Villanueva Del Rio, Carlos Alfonso can be contacted via phone (602) 933-5200.

Contact Information

Primary practice address
1920 E Cambridge Ave Ste 302 Phoenix AZ 85006-1464
Phone: (602) 933-5200
Fax: (602) 933-4272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 26995 Nebraska
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 57907 Arizona

Profile Details

NPI number 1780704734
LBN Legal business name Villanueva Del Rio, Carlos Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Aug 23rd, 2019 - about 5 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 1780704734 NPPES
Arizona MEDICAID 498524

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