Individual provider Active NPI

Alfredo Villarreal Rios Sr., MD

  • Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1760554190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
E8219 Issued in TX
Practice address
7950 Flyod Curl Drive
Medical Center Tower 1 Suite 510
San Antonio, TX 78229-3919
Phone
(210) 614-1211
Fax
(210) 615-8388
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X E8219 TX Primary
Plastic Surgery Physician 208200000X 20580 NC

Addresses

Primary practice location

7950 Flyod Curl Drive
Medical Center Tower 1 Suite 510
San Antonio, TX 78229-3919

Mailing address

7950 Flyod Curl Drive
Medical Center Tower 1 Suite 510
San Antonio, TX 78229-3919
Phone (210) 614-1211

Other identifiers 2

IdentifierTypeStateIssuer
00BH61OtherTXBCBS INSURANCE
0784213OtherTXAETNA HMO

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
I20070515000551 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 8729185392 Practice locations: San Antonio, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20580NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760554190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 FLYOD CURL DRIVE",
            "address_2": "MEDICAL CENTER TOWER 1 SUITE 510",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293919",
            "telephone_number": "210-614-1211",
            "fax_number": "210-615-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 FLYOD CURL DRIVE",
            "address_2": "MEDICAL CENTER TOWER 1 SUITE 510",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293919",
            "telephone_number": "210-614-1211",
            "fax_number": "210-615-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL RIOS",
        "first_name": "ALFREDO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "E8219",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "20580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE",
            "identifier": "00BH61",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0784213",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.