Individual provider Active NPI

Osmany Anibal Villa Zabala

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1497589824
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032376 Issued in FL
Practice address
11780 SW 89TH St Ste 204
Miami, FL 33186-2181
Phone
(786) 536-5765
NPI assigned
Aug 28, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11032376 FL Primary

Addresses

Primary practice location

11780 SW 89TH St Ste 204
Miami, FL 33186-2181

Mailing address

9085 SW 165TH PL
Miami, FL 33196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312000240 FL Practitioner - Nurse Practitioner 5698296267 Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11032376FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1497589824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 SW 165TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 SW 89TH ST STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862181",
            "telephone_number": "786-536-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA ZABALA",
        "first_name": "OSMANY",
        "middle_name": "ANIBAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.