Jesus Manuel Villarreal

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

10105 Wolverine Dr
El Paso, TX 79924-4311

Phone

(915) 329-9131

NPI assigned

Jul 11, 2023

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Daniel Bustillos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1962180661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PRIME DESERT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322146",
            "telephone_number": "915-329-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 WOLVERINE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244311",
            "telephone_number": "915-329-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "JESUS",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "BUSTILLOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frida Villanueva, NP
• Irma Villar Alvarez
• Gisselle Villaran
• Alejandra Villarreal
• Jessica Marie Villarreal, COTA
• Jose J Villarreal
• Jose Luis Villarreal, M.D.
• Josue Giovani Villarreal
• Justin Rey Villarreal
• Robert P. Villarreal, MD

• Assisted Living Facility in El Paso, TX
• Providers in El Paso, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.