Provider Demographics
NPI:1760554190
Name:VILLARREAL RIOS, ALFREDO SR (MD)
Entity Type:Individual
Prefix:MR
First Name:ALFREDO
Middle Name:
Last Name:VILLARREAL RIOS
Suffix:SR
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 1:7950 FLYOD CURL DRIVE
Mailing Address - Street 2:MEDICAL CENTER TOWER 1 SUITE 510
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3919
Mailing Address - Country:US
Mailing Address - Phone:210-614-1211
Mailing Address - Fax:210-615-8388
Practice Address - Street 1:7950 FLYOD CURL DRIVE
Practice Address - Street 2:MEDICAL CENTER TOWER 1 SUITE 510
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3919
Practice Address - Country:US
Practice Address - Phone:210-614-1211
Practice Address - Fax:210-615-8388
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8219208200000X
NC20580208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00BH61OtherBCBS INSURANCE
TX0784213OtherAETNA HMO
C22988Medicare UPIN
TX00BH616Medicare ID - Type Unspecified