Individual provider Active NPI

Maria Corazon Vilaraza

  • Registered Nurse
  • Pembroke Pines, FL
National Provider Identifier
1255595930
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1436442 Issued in FL
Practice address
931 NW 185TH Ter
Pembroke Pines, FL 33029-3647
Phone
(954) 436-7411
NPI assigned
Jul 11, 2008
Last updated
Jul 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1436442 FL Primary

Addresses

Primary practice location

931 NW 185TH Ter
Pembroke Pines, FL 33029-3647

Mailing address

931 NW 185TH Ter
Pembroke Pines, FL 33029-3647
Phone (954) 436-7411

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
1436442FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1255595930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 NW 185TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293647",
            "telephone_number": "954-436-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 NW 185TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293647",
            "telephone_number": "954-436-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILARAZA",
        "first_name": "MARIA",
        "middle_name": "CORAZON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "1436442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.