Villalba, Rendueles

Villalba, Rendueles is an individual health care provider with primary practice located at 593 Eddy St Potter 2, Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Villalba, Rendueles can be contacted via phone (401) 444-2128.

Contact Information

Primary practice address
593 Eddy St Potter 2 Providence RI 02903-4923
Phone: (401) 444-2128
Fax: (401) 444-8836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD08997 Rhode Island

Profile Details

NPI number 1881679512
LBN Legal business name Villalba, Rendueles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jan 24th, 2012 - about 14 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 1881679512 NPPES
Rhode Island MEDICAID 7006033

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