Whalio Doctors

NPI 1568853760

Luis S Vilella-Gonzalez, MD

Practitioner Physical Medicine & Rehabilitation Physician Fargo, ND

Practice location

Address
4671 38th St S, Fargo, ND 58104-7866
Phone
(877) 749-7428
Mailing address
1776 Woodstead CT STE 208, The Woodlands, TX 77380-1480

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 9273 (ND)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence MD2005-0853 (NM)

Registry record

NPI
1568853760
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Feb 2015
Record last updated
31 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.