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NPI Code Detail

MEDICARE: NOEL VILLAROSA GARCIA M.D.

MEDICARE: NOEL VILLAROSA GARCIA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician14616MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053322842
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOEL VILLAROSA GARCIA M.D.
Provider Business Mailing Address
First Line : PO BOX 648
Second Line :
City : HOUSTON
State : MS
Zip : 38851-0648
Country : US
Telephone Number : 662-448-6213
Fax Number : 662-448-6215
Provider Business Practice Location Address
First Line : 1002 E MADISON ST
Second Line :
City : HOUSTON
State : MS
Zip : 38851-2417
Country : US
Telephone Number : 662-448-6213
Fax Number : 662-448-6215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 03/13/2012

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