Active NPI
Carolina Paula Villanueva, M.D
- Pediatrics Physician
- Key Biscayne, FL
National Provider Identifier
1336308485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME96337
- Practice address
- 240 Crandon Blvd
Suite 212
Key Biscayne, FL 33149 - Phone
- (305) 361-6232
- Fax
- (305) 365-0031
- NPI assigned
- Jun 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | ME96337 | FL | |
| Pediatrics Physician | 208000000X | ME96337 | FL | Primary |
Addresses
Primary practice location
240 Crandon Blvd
Suite 212
Key Biscayne, FL 33149
Mailing address
1000 5TH Street
Suite 200
Miami Beach, FL 33139-6508
Phone (786) 399-6028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003341500 | Medicaid | FL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME96337 | FL | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCCDAD/Endpoint/HCCDAD
Organizations & group practices 1
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": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1336308485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 5TH STREET",
"address_2": "SUITE 200",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396508",
"telephone_number": "786-399-6028",
"fax_number": "305-532-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 CRANDON BLVD",
"address_2": "SUITE 212",
"city": "KEY BISCAYNE",
"state": "FL",
"postal_code": "33149",
"telephone_number": "305-361-6232",
"fax_number": "305-365-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "CAROLINA",
"middle_name": "PAULA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "FL",
"license": "ME96337",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME96337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003341500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Key Biscayne, FL
- Karla Umpierre, PSY. D.
- Caridad Valdes, ARNP
- Daniella Ursula Vergara, DDS
- Jaime J Vergara, DDS
- Village of Key Biscayne (Village of Key Biscayne Fire Rescue)
- Vimani LLC (Dr. GoodPrice)
- Adriana Von Simson
- Daniel Alejandro Waldman, PHYSICAL THERAPIST
- Eugenia Corina Wallis, RD/LDN
- Carlos E Wiegering, PHYSICIAN/MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.