| Andres R. Villar Md | |
|
6704 E Mount Vernon St Glen St Mary FL 32040-5050 | |
| (904) 259-7420 | |
| (904) 259-8366 |
| Full Name | Andres R. Villar Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 6704 E Mount Vernon St, Glen St Mary, Florida |
| Authorized Official Name and Position | Andres R Villar (ADMINISTRATOR) |
| Authorized Official Contact | 3867555044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andres R. Villar Md Po Box 606 Glen St Mary FL 32040-0606 Ph: (904) 653-1818 | Andres R. Villar Md 6704 E Mount Vernon St Glen St Mary FL 32040-5050 Ph: (904) 259-7420 |
| NPI Number | 1629162722 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 5092623439 |
|---|---|
| Medicare Enrollment ID | O20041008000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629162722 | NPI | - | NPPES |
| 660151100 | Other | FL | MEDICAID RURAL HEALTH CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |