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Individual
DR. RODERICK VILLAROMAN VERGEL DE DIOS
Active
Individual
DR. RODERICK VILLAROMAN VERGEL DE DIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K 1713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021DF
BLUE CROSS PROVIDER NUMBE
TX
01
—
080145415
MEDICARE RAILROAD PIN
TX
01
—
116761
SUPERIOR HEALTH PIN
TX
05
—
126632202
—
TX
01
—
126632205
MEDICAID EPSDT PROV. NUMB
TX
01
—
5805616
AETA PIN
TX
01
—
A001
CHAMPUS
TX
01
—
A002
TRICARE PIN
TX
05
—
EPSD49990
—
TX
01
—
MIXED
COMMERCIAL INS. PROV NO.
TX
Enumeration date
07/28/2006
Last updated
11/03/2025
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