MR. ELIAS VILLARREAL JR.


Address: 1205 N Raul Longoria Rd, Suite H, San Juan, TX 78589-3720
Phone: 9567020444

MR. ELIAS VILLARREAL JR. (NPI# 1689829475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689829475
Entity Type Individual
Full Name MR. ELIAS VILLARREAL JR.
Credential PA-C
Practice Address 1205 N Raul Longoria Rd
Suite H
San Juan
TX 78589-3720
Mailing Address 712 S Cage Blvd
Pharr
TX 78577-5446
Practice Telephone 9567020444
Practice Fax Number 9567023332
Mailing Telephone 9567831900
Mailing Fax Number 9567830291
Enumeration Date 2008-11-21
Last Update Date 2011-11-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA02048 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1689829475 01

Office Location

Street Address 1205 N RAUL LONGORIA RD
SUITE H
City SAN JUAN
State TX
Zip Code 78589-3720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639270770 Velacorp Pharmacists Inc Durable Medical Equipment & Medical Supplies 1205 N Raul Longoria Rd, Suite F, San Juan, TX 78589-3720 2006-09-25
1275188278 Alondra Moncada Speech-Language Pathologist 1205 N Raul Longoria Rd, San Juan, TX 78589-3720 2019-08-06
1164084232 Leonel Guajardo Physical Therapy Assistant 1205 N Raul Longoria Rd, San Juan, TX 78589-3720 2019-06-28
1205383072 Ana Garate Occupational Therapy Assistant 1205 N Raul Longoria Rd, Suite I, San Juan, TX 78589-3720 2016-09-08
1114396140 Erika Gaytan Specialist/Technologist 1205 N Raul Longoria Rd, Suite I, San Juan, TX 78589-3720 2015-09-21
1427425206 Leah Jasso Physical Therapy Assistant 1205 N Raul Longoria Rd, Suite I, San Juan, TX 78589-3720 2015-08-27
1760859839 Perla Sierra Occupational Therapy Assistant 1205 N Raul Longoria Rd, Suite I, San Juan, TX 78589-3720 2015-08-25
1922485853 Brenda Jimenez Specialist/Technologist 1205 N Raul Longoria Rd, Suite I, San Juan, TX 78589 2015-04-29
1275930950 Arianna Ryan Physician Assistant 1205 N Raul Longoria Rd, San Juan, TX 78589-3720 2014-11-25
1548669518 Jacqueline Silva Specialist/Technologist 1205 N Raul Longoria Rd, Suite I, San Juan, TX 78589-3720 2014-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417598814 Nueva Vida Primary Home Care LLC In Home Supportive Care 213 W. Business 83, San Juan, TX 78589 2019-10-07
1396207858 Heart To Heart Talks, LLC Counselor 409 W. Fm 495, San Juan, TX 78589 2019-04-03
1386131209 L4 Family Investments, LLC. Technician 1709 S Stewart Rd, San Juan, TX 78589 2018-04-16
1558741553 Paraiso Dental Pllc Clinic/Center 1618 N Veterans Blvd Suite A, San Juan, TX 78589 2015-06-04
1811325970 Liquid Dental, Pllc Dentist 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 2013-10-28
1598021966 Kids Dental & Orthodontics Dentist 1618 N. I Road Suite A, San Juan, TX 78589 2012-04-10
1003180704 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 100 E Fm 495, San Juan, TX 78589 2012-02-28
1598074932 Chukwunonso Jideofor Azikiwe Physical Therapy Assistant 407 W. State Hwy 495, San Juan, TX 78589 2010-10-04
1093044539 Melissa Rivera Dds Pa Dentist 4500 N Raul Longoria Street, San Juan, TX 78589 2009-12-11
1598995607 Marivel Lydia Cavazos Nurse Practitioner 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 2009-07-23
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790336972 Herold Pierre-louis Physician Assistant 151 Calle Las Lomas, San Juan, PR 00926-5527 2019-09-27
1558567800 Israel Rivera Olivero Physician Assistant Ave F.d. Roosevelt 101, Cuartel General - Oficina Medica, San Juan, PR 00936-8166 2007-06-25
1346849387 Ramari M Rodriguez Alvarez Physician Assistant Country Club, 931 Tauladina Street, San Juan, PR 00924-3360 2020-10-21
1710592860 Yarleene Ortiz Physician Assistant 371 Calle De Diego, San Juan, PR 00923-3002 2020-09-14
1144835000 Cesar Antonio Avila Physician Assistant 1400 Ave Magdalena, San Juan, PR 00907-2158 2020-09-08
1205454733 Stella M Rodriguez Physician Assistant 100 Grand Paseo Blvd, Galeria Paseos Mall 112 Ste, San Juan, PR 00926-5905 2020-07-10
1841836020 Henry J Laracuente Physician Assistant 29 Calle Washington, San Juan, PR 00907-1510 2019-11-21
1881236677 Simson Raymond Physician Assistant 151 Calle Las Lomas, San Juan, PR 00926-5527 2019-10-13
1558928051 Geraldine R Davila Plaza Physician Assistant 1959 Calle Loiza Ste 401, San Juan, PR 00911-1865 2019-05-21
1104275502 Karina Pena Physician Assistant 801 W 1st St, San Juan, TX 78589-2276 2016-06-07
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Competitor

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City SAN JUAN
Zip Code 78589

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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