Provider Demographics
NPI:1730595190
Name:VILLAMIL JARAUTA, MARIA DE ARANZAZU (MD)
Entity type:Individual
Prefix:
First Name:MARIA DE ARANZAZU
Middle Name:
Last Name:VILLAMIL JARAUTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:J4 CALLE HUCARES
Mailing Address - Street 2:URB. CAPARRA HILLS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968
Mailing Address - Country:US
Mailing Address - Phone:787-209-4888
Mailing Address - Fax:
Practice Address - Street 1:J4 CALLE HUCARES
Practice Address - Street 2:URB. CAPARRA HILLS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-209-4888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-07
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32318390200000X
NY300209207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty