Individual provider Active NPI

Melanio Pasos Villarosa II, MD

  • Pediatrics Physician
  • Labelle, FL
National Provider Identifier
1144325911
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME58367 Issued in FL
Practice address
450 S Main St
Labelle, FL 33935-4629
Phone
(863) 675-2356
Fax
(863) 983-2139
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME58367 FL Primary

Addresses

Primary practice location

450 S Main St
Labelle, FL 33935-4629

Mailing address

450 S Main St
Labelle, FL 33935-4629
Phone (863) 675-2356

Other identifiers 1

IdentifierTypeStateIssuer
ME58367OtherFLFLORIDA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170929000280 FL Practitioner - Pediatric Medicine 1052575594 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hendry County Hospital Authority Current Accepting new patients
Hendry County Hospital Authority CurrentSince Jul 8, 2017 Accepting new patients
Hendry County Hospital Authority CurrentSince Jul 8, 2017 Accepting new patients

Locations

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

500 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3032

450 S Main St
Labelle, FL 33935
Phone (239) 482-5399

450 S Main St
Ste 1
Labelle, FL 33935
Phone (863) 675-2356

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1144325911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S MAIN ST",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339354629",
            "telephone_number": "863-675-2356",
            "fax_number": "863-983-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S MAIN ST",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339354629",
            "telephone_number": "863-675-2356",
            "fax_number": "863-983-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAROSA",
        "first_name": "MELANIO",
        "middle_name": "PASOS",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME58367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "ME58367",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Labelle, FL

Sources for this page

Verify at the official NPI Registry.