Active NPI
Ernesto Eloy Villoch III, EMT/PARAMEDIC
- Emergency Medicine Physician
- Marathon, FL
National Provider Identifier
1548784895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- EMT534644
- Practice address
- 3000 41St Street Ocean
Marathon, FL 33050-2373 - Phone
- (305) 434-7660
- NPI assigned
- Jul 28, 2017
- Last updated
- Apr 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | EMT534644 | FL | Primary |
Addresses
Primary practice location
3000 41St Street Ocean
Marathon, FL 33050-2373
Mailing address
3000 41St Street Ocean
Marathon, FL 33050-2373
Phone (305) 434-7660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EMT534644 | FL | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1548784895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 41ST STREET OCEAN",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502373",
"telephone_number": "305-434-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 41ST STREET OCEAN",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502373",
"telephone_number": "305-434-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLOCH",
"first_name": "ERNESTO",
"middle_name": "ELOY",
"name_suffix": "III",
"credential": "EMT/PARAMEDIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-28",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "EMT534644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marathon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.