Provider Demographics
NPI:1215981188
Name:VILLARREAL, CELINA Y (OD)
Entity type:Individual
Prefix:DR
First Name:CELINA
Middle Name:Y
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CELINA
Other - Middle Name:
Other - Last Name:VILLANUEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2601 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8942
Mailing Address - Country:US
Mailing Address - Phone:956-291-9000
Mailing Address - Fax:956-291-9892
Practice Address - Street 1:701 S ZARZAMORA ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-5209
Practice Address - Country:US
Practice Address - Phone:210-358-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06422TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174326202Medicaid
TX174326207Medicaid
TX174326208OtherCSHCN
TX0525460001Medicare NSC
TX174326202Medicaid