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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA02048 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPI | 1689829475 | 01 |
Street Address |
1205 N RAUL LONGORIA RD SUITE H |
City | SAN JUAN |
State | TX |
Zip Code | 78589-3720 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 78589 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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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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.