Active NPI
Roberto Villegas, Jr., M.D. Pediatrics, P.a.
- Pediatrics Physician
- Laredo, TX
National Provider Identifier
1093992877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L5942
- Legal business name
- ROBERTO VILLEGAS, JR., M.D. PEDIATRICS, P.A.
- Practice address
- 10710 McPherson Rd
Suite 204
Laredo, TX 78045-6271 - Phone
- (956) 795-1440
- Fax
- (956) 795-0092
- NPI assigned
- Jan 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberto Villegas Jr., MD
- Title
- President
- Phone
- (956) 795-1440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L5942 | TX | Primary |
Addresses
Primary practice location
10710 McPherson Rd
Suite 204
Laredo, TX 78045-6271
Mailing address
2320 Middlecoff LN
Laredo, TX 78045-8159
Phone (956) 795-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190168801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
10710 McPherson Rd
Ste 204
Laredo, TX 78045
Phone (956) 785-1440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1093992877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 MIDDLECOFF LN",
"city": "LAREDO",
"state": "TX",
"postal_code": "780458159",
"telephone_number": "956-795-1440",
"fax_number": "956-795-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 MCPHERSON RD",
"address_2": "SUITE 204",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456271",
"telephone_number": "956-795-1440",
"fax_number": "956-795-0092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTO VILLEGAS, JR., M.D. PEDIATRICS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-23",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "VILLEGAS",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-795-1440",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "L5942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190168801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.