ANTONIO DE VILLA SALUD MD NPI 1093811655

NPI Information

NPI: 1093811655
Provider Name: ANTONIO DE VILLA SALUD, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: GREATER MILWAUKEE CRITICAL CARE AND PULMONARY ASSOCIATES SC

PECOS Registration: Yes

Address:
2323 N LAKE DR
ROOM 4250
MILWAUKEE, WI
ZIP 53211
Phone: (414) 291-1468
Get Directions

Antonio De Villa Salud, MD is a pulmonary disease internal medicine in Milwaukee, WI with 25 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Antonio De Villa Salud, MD NPI is 1093811655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:1999

The provider's business location address is:

2323 N LAKE DR
ROOM 4250
MILWAUKEE, WI
ZIP 53211-508
Phone: (414) 291-1468
Fax: (414) 278-2843

The NPI 1093811655 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 11/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	50455	WISCONSIN	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	50455	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1093811655	MEDICAID	WISCONSIN
2	003073645	MEDICARE PIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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