Organization Active NPI

Villarreal Medical Center PA

  • General Practice Physician
  • San Juan, TX
National Provider Identifier
1780039305
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
F0342 Issued in TX
Legal business name
VILLARREAL MEDICAL CENTER PA
Practice address
3006 N Raul Longoria Rd
San Juan, TX 78589-3676
Phone
(956) 283-9800
Fax
(956) 283-7020
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Victor R Villarreal, M.D.NPI 1629013974
Title
President
Phone
(956) 283-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 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

National Provider Directory

National Provider Directory
Tax ID family
Villarreal Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1780039305",
    "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": {
        "organization_name": "VILLARREAL MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-283-9800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "F0342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.