Organization Active NPI

Roberto Villegas, Jr., M.D. Pediatrics, P.a.

  • Pediatrics Physician
  • Laredo, TX
National Provider Identifier
1093992877
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L5942 Issued in TX
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

Updated by the provider on Apr 24, 2008

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
190168801MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.