Mario R Villoch MD Group LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME 59094 Issued in FL

Legal business name

MARIO R VILLOCH MD GROUP LLC

Practice address

2075 SW 27TH Ave FL 1
Miami, FL 33145-2540

Phone

(305) 856-6081

Fax

(305) 854-5968

NPI assigned

Feb 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mario R Villoch, M.D.,

Title

President

Phone

(305) 856-6081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437284916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 ORDUNA DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462036",
            "telephone_number": "305-662-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SW 27TH AVE FL 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452540",
            "telephone_number": "305-856-6081",
            "fax_number": "305-854-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO R VILLOCH MD GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLOCH",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-856-6081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME 59094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Miami, FL
• Providers in Miami, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.