Coral J Villanueva DPM PA

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

PO3285 Issued in FL

Legal business name

CORAL J VILLANUEVA DPM PA

Practice address

1090 Kane Concourse
Suite 204
Bay Harbor Islands, FL 33154-2130

Phone

(305) 893-9366

Fax

(305) 893-4408

NPI assigned

Jan 29, 2008

Last updated

Nov 4, 2008By 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. Coral J Villanueva, DPMNPI 1740475540

Title

President

Phone

(786) 859-3509

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Coral J Villanueva, DPM

  • Foot & Ankle Surgery Podiatrist
  • Doral, FL
  • NPI 1740475540
  Authorized official Same address or phone

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1437336690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 NW 114TH AVE",
            "address_2": "APT 1403",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784587",
            "telephone_number": "786-859-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 KANE CONCOURSE",
            "address_2": "SUITE 204",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542130",
            "telephone_number": "305-893-9366",
            "fax_number": "305-893-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL J VILLANUEVA DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "CORAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-859-3509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "FL",
            "license": "PO3285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina CHI
• Stacy Marie Chimento, MD
• Yehuda Chocron, MD
• Jose Manuel Colom, R.N.BSN
• Dawn Marie Cooperman, NP
• Anthony Gerard Corbo, D.D.S.
• Menachem Dahan, RMHCI
• Ivana Davinic
• Arlen De Armas, SLPA
• DG Heritage Medical Services ,LLC

• Podiatric Clinic/Center in Bay Harbor Islands, FL
• Providers in Bay Harbor Islands, FL by specialty
• Podiatric Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.