Individual
BERTHA MAIDOLYS VILLAVICENCIO ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2119 ROSILLOS PEAK, SAN ANTONIO, TX 78245-4616
(210) 574-3225
Mailing address
2119 ROSILLOS PEAK, SAN ANTONIO, TX 78245-4616
(210) 574-3225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1137553
TX
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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