Lydia S Q Villafuerte MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LYDIA S Q VILLAFUERTE MD

Practice address

205 Oakland Ave
Carlinville, IL 62626-1921

Phone

(217) 854-6262

Fax

(217) 854-6264

NPI assigned

Feb 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lydia Villafuerte, MD

Title

Owner

Phone

(217) 854-6262

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lydia Simeona Q Villafuerte, MD

  • Family Medicine Physician
  • Springfield, IL
  • NPI 1548249469
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154469609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626260265",
            "telephone_number": "217-854-6262",
            "fax_number": "217-854-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OAKLAND AVE",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261921",
            "telephone_number": "217-854-6262",
            "fax_number": "217-854-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA S Q VILLAFUERTE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLAFUERTE",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-854-6262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Locust Street Resource Center
• Locust Street Resource Center
• Locust Street Resource Center
• Locust Street Resource Center Cila #1
• Rebecca K. Loy
• Macoupin County Housing Authority
• Macoupin County Public Health Department
• Macoupin County Public Health Department
• Macoupin County Public Health Department
• Macoupin County Public Health Department

• Family Medicine Physician in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.