Mario R Villalba, MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MV034498 Issued in MI

Legal business name

MARIO R VILLALBA, MD PC

Practice address

3535 W 13 Mile Rd
#501
Royal Oak, MI 48073-6770

Phone

(248) 288-1130

Fax

(248) 288-5931

NPI assigned

Feb 8, 2008

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mario R Villalba, MD

Title

President

Phone

(248) 288-1130

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1225216534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "#501",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-288-1130",
            "fax_number": "248-288-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "#501",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-288-1130",
            "fax_number": "248-288-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO R VILLALBA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "VILLALBA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-288-1130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "MV034498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Stewart
• Nicole Marijanovich, MD
• Karen A Marinica, PA-C
• Jesus Marino
• Mario R Villalba, Jr MD PLLC
• Julie E Mariotti, MD
• Marjorie Goldman Yaker, LMSW, PLLC
• Mark Frikker MD PLC
• Mary Marko
• Amy Lauren Marks, DO

• Surgery Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.