Individual
RUBEN ANTONIO VILLEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 MEMORIAL DR, LURAY, VA 22835-1016
(540) 743-2887
(540) 743-1288
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101235667
VA
208M00000X
Hospitalist Physician
L6208
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010102031
—
VA
05
—
3517419-01
—
TX
Enumeration date
12/11/2006
Last updated
04/09/2021
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