Active NPI
Miguel Villarino, MD
- Family Medicine Physician
- Laredo, TX
National Provider Identifier
1588776447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K4286
- Practice address
- 4151 Bob Bullock Loop
Suite 103
Laredo, TX 78043-4741 - Phone
- (956) 729-9738
- Fax
- (956) 729-0291
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K4286 | TX | Primary |
Addresses
Primary practice location
4151 Bob Bullock Loop
Suite 103
Laredo, TX 78043-4741
Mailing address
4151 Bob Bullock Loop
Suite 103
Laredo, TX 78043-4741
Phone (956) 729-9738
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105857004 | Medicaid | TX | |
| 105857003 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040826000205 | TX | Practitioner - Family Practice | 3870567688 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K4288 | TX | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Family Medicine | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Family Medicine | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Family Medicine | Current | Accepting new patients |
Locations
4151 Jaime Zapata Memorial Hwy
Ste 205
Laredo, TX 78043
Phone (956) 718-0075
Organizations & group practices 3
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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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1588776447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4151 BOB BULLOCK LOOP",
"address_2": "SUITE 103",
"city": "LAREDO",
"state": "TX",
"postal_code": "780434741",
"telephone_number": "956-729-9738",
"fax_number": "956-729-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4151 BOB BULLOCK LOOP",
"address_2": "SUITE 103",
"city": "LAREDO",
"state": "TX",
"postal_code": "780434741",
"telephone_number": "956-729-9738",
"fax_number": "956-729-0291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARINO",
"first_name": "MIGUEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K4286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105857004",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105857003",
"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 Jul 7, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.