Rey T. Villanobos Md, Llc | |
9 Clyde Rd Ste 102 Somerset NJ 08873-5036 | |
(732) 828-2030 | |
(732) 828-2043 |
Full Name | Rey T. Villanobos Md, Llc |
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Speciality | Internal Medicine |
Location | 9 Clyde Rd Ste 102, Somerset, New Jersey |
Authorized Official Name and Position | Rey Taneo Villanobos (MANAGING MEMBER) |
Authorized Official Contact | 7328282030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rey T. Villanobos Md, Llc 36 Muirfield Blvd Monroe Township NJ 08831-5150 Ph: (732) 828-2030 | Rey T. Villanobos Md, Llc 9 Clyde Rd Ste 102 Somerset NJ 08873-5036 Ph: (732) 828-2030 |
NPI Number | 1346686516 |
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Provider Enumeration Date | 05/15/2013 |
Last Update Date | 12/21/2023 |
Medicare PECOS PAC ID | 9335383694 |
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Medicare Enrollment ID | O20130926000673 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346686516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Rey T Villanobos |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1023049558 PECOS PAC ID: 0941104368 Enrollment ID: I20031126000153 |
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