NPIMap

Organization Active NPI

Edwin M Villalobos MD PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Altamonte Springs, FL
National Provider Identifier
1124216601
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME44332 Issued in FL
Legal business name
EDWIN M VILLALOBOS MD PA
Practice address
661 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-5105
Phone
(407) 331-0771
Fax
(407) 331-0577
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Dr. Edwin M. Villalobos, M.D.NPI 1861572653
Title
President
Phone
(407) 331-0771

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X ME44332 FL Primary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X PA9101382 FL

Addresses

Primary practice location

661 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-5105

Mailing address

661 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-5105
Phone (407) 331-0771

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1124216601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 231",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-331-0771",
            "fax_number": "407-331-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 231",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-331-0771",
            "fax_number": "407-331-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN M VILLALOBOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-331-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME44332",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.