Villarreal, Manuel Ricardo

Villarreal, Manuel Ricardo is an individual health care provider with primary practice located at 3675 Boca Chica Blvd Ste A, Brownsville TX 78521-4483. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Villarreal, Manuel Ricardo can be contacted via phone (956) 542-5545.

Contact Information

Primary practice address
3675 Boca Chica Blvd Ste A Brownsville TX 78521-4483
Phone: (956) 542-5545
Fax: (956) 542-5547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 18069 Texas
Dental Providers / General Practice 1223G0001X 18069 Texas

Profile Details

NPI number 1619010386
LBN Legal business name Villarreal, Manuel Ricardo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Sep 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619010386 NPPES
Texas MEDICAID 111136103

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