Organization Active NPI

Natalia Villate, M.D. P.a.

  • Medical Specialty Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1275940124
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME102239 Issued in FL
Legal business name
NATALIA VILLATE, M.D. P.A.
Practice address
9980 Central Park Blvd N
Suite 204
Boca Raton, FL 33428-1762
Phone
(305) 788-0947
Fax
(561) 479-1680
NPI assigned
Jul 11, 2014
Last updated
Jul 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Natalia Villate, M.D.
Title
President
Phone
(305) 788-0947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME102239 FL Primary

Addresses

Primary practice location

9980 Central Park Blvd N
Suite 204
Boca Raton, FL 33428-1762

Mailing address

4001 N Ocean Blvd
Apt B 704
Boca Raton, FL 33431-5363
Phone (561) 245-8931

Other identifiers 1

IdentifierTypeStateIssuer
466500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1275940124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN BLVD",
            "address_2": "APT B 704",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315363",
            "telephone_number": "561-245-8931",
            "fax_number": "561-479-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N",
            "address_2": "SUITE 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281762",
            "telephone_number": "305-788-0947",
            "fax_number": "561-479-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIA VILLATE, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "VILLATE",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-788-0947",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME102239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.