Organization Active NPI

Tomas Villanueva D.O. P.a.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1003912817
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS0006373 Issued in FL
Legal business name
TOMAS VILLANUEVA D.O. P.A.
Practice address
11760 SW 40TH St Ste 112
Miami, FL 33175-3589
Phone
(305) 552-6969
Fax
(305) 485-3533
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tomas Villanueva, D.O.NPI 1669565453
Title
Directorowner/Physician
Phone
(305) 552-6969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X OS0006373 FL Primary

Addresses

Primary practice location

11760 SW 40TH St Ste 112
Miami, FL 33175-3589

Mailing address

11760 SW 40TH St
Suite112
Miami, FL 33175-3582
Phone (305) 552-6969

National Provider Directory

National Provider Directory

Locations

11760 SW 40th St
Ste 112
Miami, FL 33175
Phone (305) 485-7979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1003912817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-552-6969",
            "fax_number": "305-485-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753589",
            "telephone_number": "305-552-6969",
            "fax_number": "305-485-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAS VILLANUEVA D.O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_title_or_position": "DIRECTOROWNER/PHYSICIAN",
        "authorized_official_telephone_number": "305-552-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS0006373",
            "primary": true
        }
    ],
    "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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.