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1346686516 NPI number — REY T. VILLANOBOS MD, LLC

NPI Number: 1346686516
Health Care Provider/Practitioner: REY T. VILLANOBOS MD, LLC

Information about “1346686516” NPI (REY T. VILLANOBOS MD, LLC) exists in 1346686516 in HTML format HTML  |  1346686516 in plain Text format TXT  |  1346686516 in PDF (Portable Document Format) PDF  |  1346686516 in an XML format XML  formats.

NPI Number : 1346686516 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346686516",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REY T. VILLANOBOS MD, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "36 MUIRFIELD BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONROE TOWNSHIP",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08831-5150",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-828-2030",
    "MailingAddressFaxNumber": "732-828-2043",
    "FirstLinePracticeLocationAddress": "9 CLYDE RD STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOMERSET",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08873-5036",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-828-2030",
    "PracticeLocationAddressFaxNumber": "732-828-2043",
    "EnumerationDate": "05/15/2013",
    "LastUpdateDate": "12/21/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VILLANOBOS",
    "AuthorizedOfficialFirstName": "REY",
    "AuthorizedOfficialMiddleName": "TANEO",
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "732-828-2030",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RE0101X",
        "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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