Provider Demographics
NPI:1396190625
Name:RICARDO G DEL VILLAR MD PLLC
Entity Type:Organization
Organization Name:RICARDO G DEL VILLAR MD PLLC
Other - Org Name:DELVILLARUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:DEL VILLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-802-8402
Mailing Address - Street 1:222 E RIDGE RD
Mailing Address - Street 2:212
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1251
Mailing Address - Country:US
Mailing Address - Phone:956-682-4482
Mailing Address - Fax:
Practice Address - Street 1:222 E RIDGE RD
Practice Address - Street 2:212
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1251
Practice Address - Country:US
Practice Address - Phone:956-682-4482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-23
Last Update Date:2016-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD3200208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty