Active NPI
Gabriel Villada, M.D.
- Anatomic Pathology Physician
- Miami, FL
National Provider Identifier
1003182908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 133700
- Practice address
- 1201 NW 16TH Street
Pathology and Laboratory Service
Miami, FL 33125 - Phone
- (305) 575-7000
- NPI assigned
- Mar 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 133700 | FL | Primary |
| Anatomic Pathology Physician | 207ZP0101X | 1003182908 | FL |
Addresses
Primary practice location
1201 NW 16TH Street
Pathology and Laboratory Service
Miami, FL 33125
Mailing address
1201 NW 16TH Street
Pathology and Laboratory Service
Miami, FL 33125
Phone (305) 575-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003182908 | FL | MD | Anatomic Pathology Physician |
| 133700 | FL | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1003182908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 NW 16TH STREET",
"address_2": "PATHOLOGY AND LABORATORY SERVICE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33125",
"telephone_number": "305-575-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NW 16TH STREET",
"address_2": "PATHOLOGY AND LABORATORY SERVICE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33125",
"telephone_number": "305-575-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLADA",
"first_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-26",
"last_updated": "2024-01-04",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "FL",
"license": "133700",
"primary": true
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "FL",
"license": "1003182908",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.