Individual provider Active NPI

Ernesto Eloy Villoch III, EMT/PARAMEDIC

  • Emergency Medicine Physician
  • Marathon, FL
National Provider Identifier
1548784895
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
EMT534644 Issued in FL
Practice address
3000 41St Street Ocean
Marathon, FL 33050-2373
Phone
(305) 434-7660
NPI assigned
Jul 28, 2017
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
EMT534644FLMDEmergency 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.

Verify at the official NPI Registry.