De Cardenas & Villalonga MDS PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0024200 Issued in FL

Legal business name

DE CARDENAS & VILLALONGA MDS PA

Practice address

3100 SW 62ND Ave
Suite 124
Miami, FL 33155-3009

Phone

(305) 662-8316

Fax

(305) 663-8513

NPI assigned

Nov 14, 2006

Last updated

Jun 24, 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. Gaston Augusto De Cardenas, M.D.NPI 1124014550

Title

President

Phone

(305) 662-8316

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Gaston A De Cardenas, MD

  • Pediatric Otolaryngology Physician
  • Miami, FL
  • NPI 1124014550
  Authorized official Same address or phone

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1447322839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "SUITE 124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-662-8316",
            "fax_number": "305-663-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "SUITE 124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-662-8316",
            "fax_number": "305-663-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE CARDENAS & VILLALONGA MDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DE CARDENAS",
        "authorized_official_first_name": "GASTON",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-662-8316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0024200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277588300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• De Blanca Home III
• De Blanca Home Service Corp
• De Blanca Home VI
• Alessandro De Bonis, MD
• Didier Pierre De Canniere, MD
• De Cardenas Behavioral Health Services Inc.
• Paola De Cardenas Chomon, DDS
• De Cardenas Services Corp
• Agustin De Cardenas, LMT
• Diana A De Cardenas, PSYCHOTHERAPIST

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.