Active NPI
Yaima Villalba
- Developmentally Disabled Services Day Training Agency
- Miami, FL
National Provider Identifier
1033740998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 12839 SW 17TH Ter
Miami, FL 33175-1224 - Phone
- (786) 702-4483
- Fax
- (786) 773-2727
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
12839 SW 17TH Ter
Miami, FL 33175-1224
Mailing address
12839 SW 17TH Ter
Miami, FL 33175-1224
Phone (786) 702-4483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 844506796 | Other | FL | EMPLOYER INDENTIFICATION NUMBER |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1033740998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12839 SW 17TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331751224",
"telephone_number": "786-702-4483",
"fax_number": "786-773-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12839 SW 17TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331751224",
"telephone_number": "786-702-4483",
"fax_number": "786-773-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALBA",
"first_name": "YAIMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER INDENTIFICATION NUMBER",
"identifier": "844506796",
"state": "FL"
}
],
"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 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.