Individual
JOSE S VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 45TH STREET, SUITE CL149, WEST PALM BEACH, FL 33407-2413
(561) 882-4541
(561) 650-6093
Mailing address
901 45TH STREET, SUITE CL149, WEST PALM BEACH, FL 33407-2413
(561) 882-4541
(561) 650-6093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS10951
FL
208M00000X
Hospitalist Physician
Primary
OS10951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008227000
—
FL
05
—
185047101
—
TX
01
—
8X7293
BCBS
TX
01
—
P00447210
RAILROAD MEDICARE PIN
TX
Enumeration date
07/19/2006
Last updated
09/13/2016
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