Provider Demographics
NPI:1518180579
Name:VILLEGAS, MADEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MADEL
Middle Name:
Last Name:VILLEGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 TUTU PARK MALL
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-1736
Mailing Address - Country:US
Mailing Address - Phone:340-775-3700
Mailing Address - Fax:340-714-3904
Practice Address - Street 1:4605 TUTU PARK MALL
Practice Address - Street 2:SUITE 207
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-1736
Practice Address - Country:US
Practice Address - Phone:340-775-3700
Practice Address - Fax:340-714-3904
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRS2005-0360207Q00000X
VI1762207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine