Rafael Villalobos MD PA

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

License

K9927 Issued in TX

Legal business name

RAFAEL VILLALOBOS MD PA

Practice address

4770 N Expressway # 83
Suite 102
Brownsville, TX 78526-4120

Phone

(956) 350-0779

Fax

(956) 350-3006

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Villalobos, MD

Title

Owner

Phone

(956) 350-0779

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Rafael Villalobos-Nieto, MD

  • Pediatric Neurodevelopmental Disabilities Physician
  • Harlingen, TX
  • NPI 1083638522
  Medicare reassignment NPD
• Rafael Alberto Mimbela, M.D.

  • Pediatric Neurodevelopmental Disabilities Physician
  • Brownsville, TX
  • NPI 1730296047
  NPD (past)
• Miguel Angel Petrozzi, M.D., P.A.

  • Neurology Physician
  • Edinburg, TX
  • NPI 1366587727
  NPD (past)
• Nancy Vasquez, PA-C

  • Physician Assistant
  • Brownsville, TX
  • NPI 1982018255
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1386731073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5719",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785235719",
            "telephone_number": "956-350-0779",
            "fax_number": "956-350-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY # 83",
            "address_2": "SUITE 102",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264120",
            "telephone_number": "956-350-0779",
            "fax_number": "956-350-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL VILLALOBOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-350-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "TX",
            "license": "K9927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Neurodevelopmental Disabilities Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Pediatric Neurodevelopmental Disabilities Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.