Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MATIAS ANTONIO ANDRADE VILLALOBOS
NPI 1376460444
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since June 30, 2026PECOS Enrolled
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2000 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matias Antonio Andrade Villalobos NPPES

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

MATIAS ANTONIO ANDRADE VILLALOBOS (NPI 1376460444) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (14870) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376460444
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATIAS ANTONIO ANDRADE VILLALOBOS
Location Address263 FARMINGTON AVEFarmington, CT 06030-0002
Mailing Address12 Talcott Forest Rd Apt AFarmington, CT 06032-3575 · (959) 590-7171
Sole ProprietorNo
Enumeration DateJune 30, 2026
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
NPI 1376460444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CT · 14870
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
263 FARMINGTON AVE, Farmington, CT 06030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matias Antonio Andrade Villalobos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030

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 Matias Andrade Villalobos's NPI number?

The NPI number for Matias Andrade Villalobos is 1376460444. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Matias Andrade Villalobos located?

Matias Andrade Villalobos practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2000.

What is Matias Andrade Villalobos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matias Andrade Villalobos enrolled in Medicare?

Yes. Matias Andrade Villalobos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matias Andrade Villalobos was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.