Provider Demographics
NPI:1811347628
Name:VILLEGAS, PABLO CESAR (MD)
Entity type:Individual
Prefix:
First Name:PABLO
Middle Name:CESAR
Last Name:VILLEGAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6 PLOUGHMANS BUSH
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3541
Mailing Address - Country:US
Mailing Address - Phone:702-467-8412
Mailing Address - Fax:212-582-0888
Practice Address - Street 1:1776 BROADWAY STE 1200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2007
Practice Address - Country:US
Practice Address - Phone:702-467-8412
Practice Address - Fax:212-582-0888
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYP903812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry