Manuel Ricardo Villarreal II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18069 Issued in TX

Practice address

3675 Boca Chica Blvd
Ste a
Brownsville, TX 78521-4483

Phone

(956) 542-5545

Fax

(956) 542-5547

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Rick Villarreal Other name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Brownsville Dental Associates

  • Dentist
  • Brownsville, TX
  • NPI 1649551524
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1619010386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 BOCA CHICA BLVD",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214483",
            "telephone_number": "956-542-5545",
            "fax_number": "956-542-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 BOCA CHICA BLVD",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214483",
            "telephone_number": "956-542-5545",
            "fax_number": "956-542-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "MANUEL",
        "middle_name": "RICARDO",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18069",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111136103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICK",
            "last_name": "VILLARREAL",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carolina Villarreal, LPC, ATR
• Cecilia Simmons Villarreal, RN, MSN, FNP-C
• Gloriana Villarreal, PHARMD
• Griselda Villarreal, OT
• Luis Villarreal, MT-BC
• Mariann Villarreal
• Michelle Villarreal, CCCSLP
• Natalia Sayde Villarreal, RD
• Vanessa Beltran Villarreal, M.ED., LPC, NCC
• Vanessa Yvette Villarreal

• General Practice Dentistry in Brownsville, TX
• Providers in Brownsville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.

Verify at the official NPI Registry.