Reyes, Adrian Villafuerte

Reyes, Adrian Villafuerte is an sole proprietor health care provider with primary practice located at 1805 Medical Center Dr , San Bernardino CA 92411-1217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Reyes, Adrian Villafuerte can be contacted via phone (909) 887-6333.

Contact Information

Primary practice address
1805 Medical Center Dr San Bernardino CA 92411-1217
Phone: (909) 887-6333
Fax: (909) 806-1079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A51386 California

Profile Details

NPI number 1932134145
LBN Legal business name Reyes, Adrian Villafuerte
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Nov 5th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932134145 NPPES
California MEDICAID 00A51386

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