Organization Active NPI

Beatriz L. Villafane, MD, PA

  • Psychiatry Physician
  • Sebastian, FL
National Provider Identifier
1427399153
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME86717 Issued in FL
Legal business name
BEATRIZ L. VILLAFANE, MD, PA
Practice address
735 Commerce Center Dr
Suite a
Sebastian, FL 32958-3136
Phone
(954) 443-1988
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Beatriz Liliana Villafane, MDNPI 1508838988
Title
Owner
Phone
(786) 202-0246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME86717 FL Primary

Addresses

Primary practice location

735 Commerce Center Dr
Suite a
Sebastian, FL 32958-3136

Mailing address

15460 NW 83Rd PL
Miami Lakes, FL 33016-5836
Phone (786) 202-0246

Other identifiers 1

IdentifierTypeStateIssuer
266472100MedicaidFL

National Provider Directory

National Provider Directory

Locations

17900 NW 5th St
Ste 203A
Pembroke Pines, FL 33029
Phone (954) 322-1005

735 Commerce Center Dr
Ste A
Sebastian, FL 32958
Phone (772) 589-4488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1427399153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15460 NW 83RD PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165836",
            "telephone_number": "786-202-0246",
            "fax_number": "954-443-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 COMMERCE CENTER DR",
            "address_2": "SUITE A",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583136",
            "telephone_number": "954-443-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATRIZ L. VILLAFANE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_middle_name": "LILIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-202-0246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME86717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266472100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.