Individual
RUBEN ANTONIO VILLEDA
Active
Individual
RUBEN ANTONIO VILLEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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