Individual
MIGUEL ANGEL VILLAGRA-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8795
(775) 445-5175
Mailing address
2415 BUTTERMERE CT, RENO, NV 89521-4517
(915) 502-8416
(915) 502-8416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-7628
AR
208M00000X
Hospitalist Physician
Primary
18117
NV
208M00000X
Hospitalist Physician
Q8381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609006410
NPI NUMBER
AR
01
—
E-7628
LICENSE NUMBER
AR
Enumeration date
07/15/2009
Last updated
01/28/2023
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