Leishatt Torreblanca Villena, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD2012-0759 Issued in NM

Practice address

313 W Country Club Rd
Suite 13
Roswell, NM 88201-5804

Phone

(575) 625-1371

NPI assigned

Sep 10, 2013

Last updated

Sep 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Warren D. McKelvy MD Pediatrics LLC

  • Pediatrics Physician
  • Roswell, NM
  • NPI 1104935386
  NPD (past)

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1255766184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MULLIS ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882011154",
            "telephone_number": "305-989-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB RD",
            "address_2": "SUITE 13",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015804",
            "telephone_number": "575-625-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREBLANCA VILLENA",
        "first_name": "LEISHATT",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2012-0759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobosa Developmental Services- Home Visiting
• Tobosa Developmental Services, Inc.
• Terry W. Todd, DC
• Tom Wulf MD LLC
• William Arthur Toogood, M.S., LPCC
• Andrew Torres
• Dagmar Torres
• Elizabeth Torres
• Maria Emma Torres, COTA
• Paul R Torres, MD

• Pediatrics Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.