VILLA MEDICAL CENTER NPI 1790424059

NPI Information

NPI: 1790424059
Provider Name: VILLA MEDICAL CENTER

Doing Business As: VILLA MEDICAL CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2441 NW 93RD AVE STE 102
DORAL, FL
ZIP 33172
Phone: (786) 391-4464
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VILLA MEDICAL CENTER is a primary care clinic center in Doral, FL. VILLA MEDICAL CENTER NPI is 1790424059. The provider is registered as an organization entity type.
The provider Is Doing Business As Villa Medical Center.

The provider's business location address is:

2441 NW 93RD AVE STE 102
DORAL, FL
ZIP 33172-800
Phone: (786) 391-4464

The provider's authorized official is Minerva Perez .
The authorized official title is Director and has the following contact phone number (786) 301-0810.

The CLIA number assigned to this NPI record is 10D2263519 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2022 and was last updated on 9/15/2023.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

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