Individual provider Active NPI

Victor Romeo Villarreal, MD

  • Family Medicine Physician
  • San Juan, TX
National Provider Identifier
1629013974
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F0342 Issued in TX
Practice address
3006 N Raul Longoria Rd
San Juan, TX 78589-3676
Phone
(956) 283-9800
Fax
(956) 283-7020
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F0342 TX Primary

Addresses

Primary practice location

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

Mailing address

3006 N Raul Longoria Rd
San Juan, TX 78589-3676
Phone (956) 283-9800

Other identifiers 1

IdentifierTypeStateIssuer
1306380605MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000473 TX Practitioner - General Practice 5698718138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Michigan Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3006 N Raul Longoria Rd
San Juan, TX 78589-3676
Phone (956) 283-9800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Villarreal Medical Center, PA CurrentSince Feb 20, 2014 Accepting new patients
Villarreal Medical Clinic PA Specialist CurrentSince Mar 15, 1987 Accepting new patients
Villarreal Medical Center PA Past Accepting new patients
Villarreal Medical Center, PA Past Accepting new patients

Locations

1200 S Col Rowe Blvd
Ste A3
McAllen, TX 78501
Phone (512) 631-7117

3006 N Raul Longoria Rd
San Juan, TX 78589
Phone (956) 283-9800

Interoperability endpoints

  • Direct secure messaging: victor.villarreal.1@18763.direct.athenahealth.com
  • Direct secure messaging: victor.villarreal.1@30238.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1629013974",
    "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": {
        "last_name": "VILLARREAL",
        "first_name": "VICTOR",
        "middle_name": "ROMEO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F0342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306380605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

Verify at the official NPI Registry.