Provider Demographics
NPI:1033127733
Name:REGUEIRA, FELIX F (MD)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:F
Last Name:REGUEIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4304 RETAMA CIR
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-2767
Mailing Address - Country:US
Mailing Address - Phone:361-576-2134
Mailing Address - Fax:361-578-0221
Practice Address - Street 1:4304 RETAMA CIR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-2767
Practice Address - Country:US
Practice Address - Phone:361-576-2134
Practice Address - Fax:361-578-0221
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE93542080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0059DJOtherBLUE CROSS BLUE SHIELD
TX82920XOtherBLUE CROSS BLUE SHIELD
TX060378901Medicaid
TX092298102Medicaid
TX4331614OtherAETNA
TX092297101Medicaid
TX4331614OtherAETNA