Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 3177 | PR |
Y | 103TC0700X | Clinical Psychologist | 3177 | PR |
NPI | 1013156819 |
---|---|
Provider Name | Lilliana Villanueva Garcia |
First Address | Rio Grande, PR 00745-3002 |
Second Address | Trujillo Alto, PR 00976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2009 |
Last Update Date | 04/01/2022 |