Marina Villegas

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12066 Issued in FL

Practice address

140 Oaxaca LN
Kissimmee, FL 34743-7019

Phone

(407) 350-5904

Fax

(407) 641-8319

NPI assigned

Sep 12, 2018

Last updated

Sep 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1154804458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OAXACA LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437019",
            "telephone_number": "407-350-5904",
            "fax_number": "407-641-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OAXACA LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437019",
            "telephone_number": "407-350-5904",
            "fax_number": "407-641-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "MARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Villanueva
• Shakira Villanueva, RBT
• Wilson Giovanni Villanueva, M.A., ED.S., LMHC
• Gladys Vanessa Villegas-Ocampo
• Jesse Villegas, OD
• Mary Anne Villegas, MD
• Sarines Villegas
• Valentina Villegas, PA-C
• Valeria Villegas
• Veronica Villegas X, RBT

• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.