Provider Demographics
NPI:1467715789
Name:ALBERTO VILORIA INC
Entity Type:Organization
Organization Name:ALBERTO VILORIA INC
Other - Org Name:ALBERTO VILORIA,M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDDA
Authorized Official - Middle Name:P
Authorized Official - Last Name:VILORIA
Authorized Official - Suffix:
Authorized Official - Credentials:BSMT
Authorized Official - Phone:314-842-3102
Mailing Address - Street 1:3535 S JEFFERSON AVE
Mailing Address - Street 2:SUITE S-8
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63118-3930
Mailing Address - Country:US
Mailing Address - Phone:314-771-8792
Mailing Address - Fax:314-771-6153
Practice Address - Street 1:3535 S JEFFERSON AVE
Practice Address - Street 2:SUITE S-8
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-3930
Practice Address - Country:US
Practice Address - Phone:314-771-8792
Practice Address - Fax:314-771-6153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO33353251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management