Provider Demographics
NPI:1306106877
Name:VILLARREAL, ADRIAN ARTHUR (DO)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:ARTHUR
Last Name:VILLARREAL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:8950 SW 72ND CT STE 2201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-8311
Mailing Address - Country:US
Mailing Address - Phone:954-834-6322
Mailing Address - Fax:225-304-5926
Practice Address - Street 1:8950 SW 72ND CT STE 2201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-8311
Practice Address - Country:US
Practice Address - Phone:954-834-6322
Practice Address - Fax:225-304-5926
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS14461204D00000X, 207Q00000X
CA20A18052204D00000X, 207Q00000X
MI5101019895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM