Village Medical Center, LLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VILLAGE MEDICAL CENTER, LLC.

Practice address

13400 SW 10TH St
Pembroke Pines, FL 33027-1833

Phone

(954) 900-1466

Fax

(954) 900-1553

NPI assigned

Oct 1, 2020

Organization subpart

No

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

Authorized official

Name

Joshua Allan Ruskin

Title

Ceo/Finance

Phone

(954) 900-1466

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• HealthSun Health Plans Network

Practitioners 7

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

• Ines Maria Braceras, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1164485231
  Medicare reassignment Care Compare group NPD
• Sasha Charres

  • Primary Care Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1699497040
  Medicare reassignment Care Compare group NPD
• Idania Teresa Garcia del Sol, M.D.

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1407247588
  Medicare reassignment Care Compare group NPD
• Felipe De Jesus Gascon-Rodon, MD

  • Hospitalist Physician
  • Pembroke Pines, FL
  • NPI 1265747232

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Rodolfo Hanabergh, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1003859315
  Medicare reassignment Care Compare group NPD
• Juan Carlos Perez Sanchez

  • Nurse Practitioner
  • Homestead, FL
  • NPI 1730857723
  Medicare reassignment
• Bahjat F Ghanem, MD

  • General Practice Physician
  • Pembroke Pines, FL
  • NPI 1932158987
  Care Compare group

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1033716279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 SW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271833",
            "telephone_number": "954-900-1466",
            "fax_number": "954-900-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 SW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271833",
            "telephone_number": "954-900-1466",
            "fax_number": "954-900-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE MEDICAL CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "RUSKIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CEO/FINANCE",
        "authorized_official_telephone_number": "954-900-1466"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana A Vila, M.D.
• Maria Corazon Vilaraza
• Beatriz Liliana Villafane, M.D.
• Village Chiropractic Health Center, Inc
• Village Group Management Corp.
• Village Square Dental PLLC
• Melissa Maria Villalona
• Yvelice Antonia Villaman, MD
• Ann-Margaret C Villar, DO
• Margarette Vilvar, LPN

• Internal Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.