Edilio Javier Villalobos

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

901 W Interstate 2
San Juan, TX 78589-3734

Phone

(956) 783-1275

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1467041749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 LINCOLN ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W INTERSTATE 2",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893734",
            "telephone_number": "956-783-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "EDILIO",
        "middle_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Vela
• Oscar Rene Vela, P.A-C
• Velacorp Pharmacists Inc (San Juan Pharmacy)
• Dora Velazquez, FNP
• Veterans Boulevard Family Dentistry, PLLC (Smile Magic of San Juan)
• David Villanueva, RPH
• Villarreal Medical Center PA
• Villarreal Medical Center, PA
• Villarreal Medical Center, PA
• Juan Miguel Villarreal, PA-C

• Technician in San Juan, TX
• Providers in San Juan, TX by specialty
• Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.