Juan Jose Maya Villamizar, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME128061 Issued in FL

Practice address

3918 Via Poinciana Ste 2
Lake Worth, FL 33467-2991

Phone

(561) 439-4682

Fax

(561) 969-3400

NPI assigned

Jul 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Rheumatology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rheumatology Center of Palm Beach PLLCGroup PAC ID 9739429143, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Rheumatology Center of Palm Beach PLLC

  • Rheumatology Physician
  • Lake Worth, FL
  • NPI 1992269468
  Medicare reassignment Care Compare group NPD Authorized official
• Medical Specialists of the Palm Beaches Inc

  • Internal Medicine Physician
  • Palm Springs, FL
  • NPI 1386687580
  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1144660291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8689",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334688689",
            "telephone_number": "561-748-2889",
            "fax_number": "561-748-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 VIA POINCIANA STE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672991",
            "telephone_number": "561-439-4682",
            "fax_number": "561-969-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYA VILLAMIZAR",
        "first_name": "JUAN JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME128061",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME128061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Matteson, CNIM
• Charles James Matuszak, M.D.
• John D Matz
• Joseph M Mauceri, M.D.
• Amanda Mavrakis, LMHC
• Abraham Mayard
• Norma Noemi Mazariegas, RN
• Yevgeniya Mazurovsky
• MBH Rehabilitation Inc
• Mbi Project Management LLC

• Rheumatology Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.