Active NPI
Roberto Luis Villarreal, M.D.
- Pediatric Cardiology Physician
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- F3370
- Practice address
- 6553 Metro CT
Suite a
Laredo, TX 78041-9137 - Phone
- (956) 717-5974
- Fax
- (956) 791-0736
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | F3370 | TX | Primary |
Addresses
Primary practice location
6553 Metro CT
Suite a
Laredo, TX 78041-9137
Mailing address
6553 Metro CT
Suite a
Laredo, TX 78041-9137
Phone (956) 717-5974
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00EU79 | Other | TX | BLUE CROSS BLUE SHIELD ID |
| 130196201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3370 | TX | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magella Medical Associates Billing, Inc. | Pediatric Cardiology | Current | Accepting new patients |
Locations
3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445
6553 Metro Ct
Ste A
Laredo, TX 78041
Phone (956) 717-5974
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1568658227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1295796175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6553 METRO CT",
"address_2": "SUITE A",
"city": "LAREDO",
"state": "TX",
"postal_code": "780419137",
"telephone_number": "956-717-5974",
"fax_number": "956-791-0736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6553 METRO CT",
"address_2": "SUITE A",
"city": "LAREDO",
"state": "TX",
"postal_code": "780419137",
"telephone_number": "956-717-5974",
"fax_number": "956-791-0736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "ROBERTO",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TX",
"license": "F3370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "00EU79",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130196201",
"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 Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.