Active NPI
Tomas Villanueva D.O. P.a.
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1003912817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS0006373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tomas Villanueva, D.O.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1669565453
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.