Individual
ADRIAN VILLAFUERTE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1217
(909) 887-6333
(909) 806-1079
Mailing address
PO BOX 11196, SAN BERNARDINO, CA 92423-1196
(909) 799-9115
(909) 799-5636
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A51386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A51386
—
CA
Enumeration date
07/12/2006
Last updated
11/05/2009
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