Individual provider Active NPI

Ma. Dina Grace Panaguiton Villanueva, R.P.T.

  • Physical Therapist
  • Beverly Hills, FL
National Provider Identifier
1114142965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009467 Issued in FL
Practice address
1950 W la Bonte Cir
Beverly Hills, FL 34465-2318
Phone
(352) 746-3215
Fax
(352) 746-3215
NPI assigned
Apr 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 009467 FL Primary

Addresses

Primary practice location

1950 W la Bonte Cir
Beverly Hills, FL 34465-2318

Mailing address

1950 W la Bonte Cir
Beverly Hills, FL 34465-2318
Phone (352) 746-3215

Other names 1

  • Dina Villanueva Other name

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

State licenses

LicenseStateTypeSpecialty
009467FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114142965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 W LA BONTE CIR",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344652318",
            "telephone_number": "352-746-3215",
            "fax_number": "352-746-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W LA BONTE CIR",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344652318",
            "telephone_number": "352-746-3215",
            "fax_number": "352-746-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "MA. DINA GRACE",
        "middle_name": "PANAGUITON",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "009467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "VILLANUEVA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.