Individual ProviderWalter VillalobosRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-5000(410) 933-6423PECOS EnrollmentBased on the most recent information from CMS, provider Walter Villalobos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1477086106Provider TypeIndividualFull NameVillalobos, WalterGenderMaleSole ProprietorNoEnumeration Date4/10/2017Last Updated6/3/2022Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-5000FaxUnlisted FaxMailing LocationMailing Address6201 Greenleigh Ave, Middle River, MD 21220-2004Phone(410) 933-6423FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD94044Maryland