Individual provider · Type 1 NPI

Matias Antonio Andrade Villalobos

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1376460444 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0002

Mailing address

12 Talcott Forest Rd Apt A
Farmington, CT 06032-3575

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X14870 (CT)

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1376460444

Matias Antonio Andrade Villalobos's National Provider Identifier is 1376460444, issued on Jun 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jul 20, 2026.