Ingrid Villanueva, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

38933 Issued in FL

Practice address

5724 Byron Anthony Plcae
Apartment 312
Sanford, FL 32771-8635

Phone

(787) 420-3685

NPI assigned

Jul 23, 2024

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

Other names 1

• Ingrid Villanueva Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1386472264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 BYRON ANTHONY PLCAE",
            "address_2": "APARTMENT 312",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718635",
            "telephone_number": "787-420-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 BYRON ANTHONY PLCAE",
            "address_2": "APARTMENT 312",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718635",
            "telephone_number": "787-420-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "INGRID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "38933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "VILLANUEVA",
            "credential": "INGRID VILLANUEVA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Anne Vestal, LMHC
• Yvonne Aku Vetter
• Vida Homecare Services LLC
• Vida Homecare Services LLC
• Magaly Villafradez-Diaz, M.D.
• Lindsey Vincent, OD
• Bruce Vinikas, DOM
• Kira Ona Vinikas, MSCN
• Visionworks Inc
• Visionworks, Inc.

• Anatomic Pathology & Clinical Pathology Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.