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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780704734 | NPPES |
Arizona | MEDICAID | 498524 |
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