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BERTHA MAIDOLYS VILLAVICENCIO ESTRADA FNP
NPI 1366399800
Nurse Practitioner - Family in San Antonio, TX

Active since March 13, 2026
2119 ROSILLOS PEAK, SAN ANTONIO, TX 78245(210) 574-3225 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bertha Maidolys Villavicencio Estrada Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERTHA MAIDOLYS VILLAVICENCIO ESTRADA FNP (NPI 1366399800) is an individual family provider in San Antonio, Texas, licensed in Texas (1137553) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1366399800
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBERTHA MAIDOLYS VILLAVICENCIO ESTRADACredential: FNP
Location Address2119 ROSILLOS PEAKSan Antonio, TX 78245-4616
Mailing Address2119 Rosillos PeakSan Antonio, TX 78245-4616 · (210) 574-3225
Phone(210) 574-3225
Sole ProprietorYes
Enumeration DateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1366399800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1137553
2119 ROSILLOS PEAK, San Antonio, TX 78245
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bertha Villavicencio Estrada's NPI number?

The NPI number for Bertha Villavicencio Estrada is 1366399800. It was assigned to this individual provider in the NPPES registry on March 13, 2026.

Where is Bertha Villavicencio Estrada located?

Bertha Villavicencio Estrada practices at 2119 Rosillos Peak, San Antonio, TX 78245. The listed phone number is (210) 574-3225.

What is Bertha Villavicencio Estrada's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bertha Villavicencio Estrada was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.