Provider Demographics
NPI:1740483437
Name:VILLARREAL ALEJANDRO, ONIER (MD)
Entity type:Individual
Prefix:DR
First Name:ONIER
Middle Name:
Last Name:VILLARREAL ALEJANDRO
Suffix:
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 1:19114 MAGNOLIA FARMS LN
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-4144
Mailing Address - Country:US
Mailing Address - Phone:443-540-5550
Mailing Address - Fax:
Practice Address - Street 1:2253 HEART PINE AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-1500
Practice Address - Country:US
Practice Address - Phone:813-723-5911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 113729207P00000X, 207RC0200X
FLME1137292084A2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care