Provider Demographics
NPI:1902813504
Name:CLAUDIO VILLAMIL, JAIME JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:JOSE
Last Name:CLAUDIO VILLAMIL
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:49 CALLE CAPRI
Mailing Address - Street 2:PASEO LAS BRISAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5947
Mailing Address - Country:US
Mailing Address - Phone:787-792-9026
Mailing Address - Fax:
Practice Address - Street 1:496 CALLE SIRIO
Practice Address - Street 2:ALTAMIRA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4241
Practice Address - Country:US
Practice Address - Phone:787-792-9026
Practice Address - Fax:787-783-7005
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2011-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR6335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC77574Medicare UPIN
PR27816Medicare ID - Type Unspecified