Healthcare Provider Details

I. General information

NPI: 1184510729
Provider Name (Legal Business Name): DANIA AILEEN VILLANUEVA SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANIA AILEEN VILLANUEVA SLPA

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 EVERS RD
SAN ANTONIO TX
78238-1699
US

IV. Provider business mailing address

9514 CONSOLE DR
SAN ANTONIO TX
78229-2069
US

V. Phone/Fax

Practice location:
  • Phone: 210-397-8500
  • Fax:
Mailing address:
  • Phone: 210-448-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number43160
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number123987
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: