Provider Demographics
NPI:1740257104
Name:VILORIA, ALBERTO (MD)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:VILORIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10135 TANBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2630
Mailing Address - Country:US
Mailing Address - Phone:314-842-3102
Mailing Address - Fax:
Practice Address - Street 1:3535 S JEFFERSON AVE STE S8
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-3900
Practice Address - Country:US
Practice Address - Phone:314-771-8792
Practice Address - Fax:314-771-6153
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO33353207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA10864Medicare UPIN