Villarreal Medical Center, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

F0342 Issued in TX

Legal business name

VILLARREAL MEDICAL CENTER, PA

Practice address

3006 N Raul Longoria Rd
San Juan, TX 78589-3676

Phone

(956) 283-9800

Fax

(956) 283-7020

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Victor R Villarreal, M.D.NPI 1629013974

Title

President

Phone

(956) 283-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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

• Victor Romeo Villarreal, MD

  • Family Medicine Physician
  • San Juan, TX
  • NPI 1629013974
  Medicare reassignment NPD Authorized official
• Indira Vogel, FNP

  • Family Nurse Practitioner
  • San Juan, TX
  • NPI 1790459360
  Medicare reassignment NPD
• Jessica Ledesma Saenz, PA-C

  • Physician Assistant
  • San Juan, TX
  • NPI 1265763874
  Medicare reassignment
• Oscar Rene Vela, P.A-C

  • Physician Assistant
  • San Juan, TX
  • NPI 1275740243
  Medicare reassignment

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1306380605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 N RAUL LONGORIA RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893676",
            "telephone_number": "956-283-9800",
            "fax_number": "956-283-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N RAUL LONGORIA RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893676",
            "telephone_number": "956-283-9800",
            "fax_number": "956-283-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLARREAL MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-283-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "F0342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dora Velazquez, FNP
• Veterans Boulevard Family Dentistry, PLLC
• Edilio Javier Villalobos
• David Villanueva, RPH
• Villarreal Medical Center PA
• Villarreal Medical Center, PA
• Juan Miguel Villarreal, PA-C
• Tony Villarreal, DC
• Victor Romeo Villarreal, MD
• Vincent Viet Vo

• Primary Care Clinic/Center in San Juan, TX
• Providers in San Juan, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.