Nathalia Vilela Souza

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DRPM2802 Issued in FL

Practice address

1395 Center Drive
Room D1-19
Gainesville, FL 32610-0434

Phone

(352) 273-7846

NPI assigned

Sep 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1053147355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 SW 16TH AVE APT 306",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326018531",
            "telephone_number": "352-682-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DRIVE",
            "address_2": "ROOM D1-19",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100434",
            "telephone_number": "352-273-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILELA SOUZA",
        "first_name": "NATHALIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DRPM2802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhu B Vijayappa, M.D.
• Richa Vijayvargiya
• Gabriela Vila, D.M.D.
• Daniel Vilarim Araujo
• Juan Ramon Vilaro, M.D.
• Ana Yvette Vilfort Garces
• Alan Villacampa
• Bedelia Villafane
• Bianca Rhea Villafuerte Scicchitano, MMS, PA-C
• Village Counseling Center of Gainesville, Inc.

• Periodontics in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.