NPIMap

Individual provider Active NPI

Hans Christian Cancel Villamil, MD

  • Family Medicine Physician
  • Trenton, FL
National Provider Identifier
1497104475
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME142435 Issued in FL
Practice address
911 S Main St
Trenton, FL 32693
Phone
(352) 463-2374
Fax
(352) 463-2726
NPI assigned
Jun 9, 2016
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME142435 FL Primary

Addresses

Primary practice location

911 S Main St
Trenton, FL 32693

Mailing address

23343 NW County Road 236
High Springs, FL 32643-9669
Phone (386) 454-0698

Other practice location 1

1014 NW 57th St
Gainesville, FL 32605-4486
Phone (352) 376-8211

Other practice location 2

1014 NW 57th St
Gainesville, FL 32605-4486
Phone (352) 376-8211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191127000894 FL Practitioner - Family Practice 6002103967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trenton Medical Center IncGroup PAC ID 2365359387, 71 clinicians

Practice addresses (Care Compare)

911 S Main St
Trenton, FL 32693-3239
Phone (352) 463-2374

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Medical Center, Inc. CurrentSince Sep 28, 2019 Accepting new patients
Trenton Medical Center Inc CurrentSince Sep 28, 2019 Accepting new patients

Locations

1830 N Main St
Bell, FL 32619
Phone (352) 463-1100

103 US Highway 27 SW
Branford, FL 32008
Phone (386) 395-3090

410 N Main St
Ste 12
Chiefland, FL 32626
Phone (352) 493-1686

2349 Village Square Pkwy
Ste 110111
Fleming Island, FL 32003
Phone (904) 385-2023

1014 NW 57th St
Gainesville, FL 32605
Phone (352) 376-8211

200 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 265-9484

16916 NW US Highway 441
High Springs, FL 32643
Phone (386) 454-0568

23343 NW County Road 236
High Springs, FL 32643

173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020

4784 W US Highway 90
Lake City, FL 32055
Phone (386) 269-9260

211 Ranchera St NW
Live Oak, FL 32064
Phone (386) 364-1751

2021 Professional Center Dr
Orange Park, FL 32073
Phone (386) 454-0698

922 E Call St
#100
Starke, FL 32091
Phone (904) 364-2900

911 S Main St
Trenton, FL 32693
Phone (352) 463-2374

630 N Main St
Williston, FL 32696
Phone (352) 528-0587

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1497104475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23343 NW COUNTY ROAD 236",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326439669",
            "telephone_number": "386-454-0698",
            "fax_number": "386-454-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S MAIN ST",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "32693",
            "telephone_number": "352-463-2374",
            "fax_number": "352-463-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 NW 57th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326054486",
            "country_code": "US",
            "telephone_number": "352-376-8211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 NW 57th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326054486",
            "country_code": "US",
            "telephone_number": "352-376-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCEL VILLAMIL",
        "first_name": "HANS",
        "middle_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME142435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, FL

Sources for this page

Verify at the official NPI Registry.