VILLARREAL MEDICAL CENTER, PA (NPI# 1306380605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306380605 |
| Entity Type | Organization |
| Organization Name | VILLARREAL MEDICAL CENTER, PA |
| Practice Address |
3006 N Raul Longoria Rd San Juan TX 78589-3676 |
| Practice Telephone | 9562839800 |
| Practice Fax Number | 9562837020 |
| Mailing Telephone | 9562839800 |
| Mailing Fax Number | 9562837020 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | DR. VICTOR R VILLARREAL (PRESIDENT) |
| Authorized Official Telephone | 9562839800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
F0342 | TX | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699190975 | Villarreal Medical Center, Pa | Clinic/Center | 3006 N Raul Longoria Rd, San Juan, TX 78589-3676 | 2014-02-24 |
| Street Address |
3006 N RAUL LONGORIA RD |
| City | SAN JUAN |
| State | TX |
| Zip Code | 78589-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629013974 | Victor Romeo Villarreal | Specialist | 3006 N Raul Longoria Rd, San Juan, TX 78589-3676 | 2006-06-19 |
| 1780039305 | Villarreal Medical Center Pa | General Practice | 3006 N Raul Longoria Rd, San Juan, TX 78589-3676 | 2016-05-02 |
| 1699190975 | Villarreal Medical Center, Pa | Clinic/Center | 3006 N Raul Longoria Rd, San Juan, TX 78589-3676 | 2014-02-24 |
| 1265763874 | Jessica Ledesma Saenz | Physician Assistant | 3006 N Raul Longoria Rd, San Juan, TX 78589-3676 | 2010-01-21 |
| 1275740243 | Oscar Rene Vela | Physician Assistant | 3006 N Raul Longoria Rd, San Juan, TX 78589-3676 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417598814 | Nueva Vida Primary Home Care LLC | In Home Supportive Care | 213 W. Business 83, San Juan, TX 78589 | 2019-10-07 |
| 1396207858 | Heart To Heart Talks, LLC | Counselor | 409 W. Fm 495, San Juan, TX 78589 | 2019-04-03 |
| 1386131209 | L4 Family Investments, LLC. | Technician | 1709 S Stewart Rd, San Juan, TX 78589 | 2018-04-16 |
| 1558741553 | Paraiso Dental Pllc | Clinic/Center | 1618 N Veterans Blvd Suite A, San Juan, TX 78589 | 2015-06-04 |
| 1811325970 | Liquid Dental, Pllc | Dentist | 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 | 2013-10-28 |
| 1598021966 | Kids Dental & Orthodontics | Dentist | 1618 N. I Road Suite A, San Juan, TX 78589 | 2012-04-10 |
| 1003180704 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 100 E Fm 495, San Juan, TX 78589 | 2012-02-28 |
| 1598074932 | Chukwunonso Jideofor Azikiwe | Physical Therapy Assistant | 407 W. State Hwy 495, San Juan, TX 78589 | 2010-10-04 |
| 1093044539 | Melissa Rivera Dds Pa | Dentist | 4500 N Raul Longoria Street, San Juan, TX 78589 | 2009-12-11 |
| 1598995607 | Marivel Lydia Cavazos | Nurse Practitioner | 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 | 2009-07-23 |
| Find all providers in zip 78589 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1487059036 | Lnbv LLC | Clinic/Center | 572 Teniente Cesar Gonzalez, Urbanizacion Baldrich, Hato Rey, San Juan, PR 00919 | 2014-10-24 |
| 1083016901 | Mqv LLC | Clinic/Center | 864 Ave. San Patricio, Urb. Las Lomas, San Juan, PR 00921 | 2014-09-23 |
| 1710313986 | La Cumbre Medical LLC | Clinic/Center | 505 Emiliano Pol Avenue, San Juan, PR 00926 | 2013-09-19 |
| 1841432143 | Hyde Park Medical Group Psc | Clinic/Center | 212 Calle Las Marias, Hyde Park, San Juan, PR 00927-4213 | 2009-04-01 |
| 1922240365 | Romana Wound Care Corp | Clinic/Center | 100 Calle Chapultepec, San Juan, PR 00926-2163 | 2009-03-31 |
| 1801050711 | Carmen Milagros Nevares | Clinic/Center | Ave Ponce De Leon # 1717, 2208 Plaza Inmaculada 2, San Juan, PR 00907-3380 | 2008-07-10 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.