Active NPI
Sylvia Fernandez Villarreal, MD
- Pediatrics Physician
- Taos, NM
National Provider Identifier
1740248756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 97-161
- Practice address
- 1393 Weimer Rd
Taos, NM 87571-6253 - Phone
- (505) 758-8651
- NPI assigned
- May 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 97-161 | NM | Primary |
Addresses
Primary practice location
1393 Weimer Rd
Taos, NM 87571-6253
Mailing address
1393 Weimer Rd
Taos, NM 87571-6253
Phone (505) 758-8651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97-161 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Clinic for Children and Youth | Pediatrics | Current | Accepting new patients |
Locations
1393 Weimer Rd
Taos, NM 87571
Phone (575) 741-0370
Interoperability endpoints
- drvillarreal@taospeds.opdirect.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299801600000",
"number": "1740248756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1393 WEIMER RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716253",
"telephone_number": "505-758-8651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1393 WEIMER RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716253",
"telephone_number": "505-758-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "SYLVIA",
"middle_name": "FERNANDEZ",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2011-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "97-161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.