Organization Active NPI

Marie Claire Villanueva, DPM, PA

  • Podiatrist
  • Merritt Island, FL
National Provider Identifier
1558706911
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 0002657 Issued in FL
Legal business name
MARIE CLAIRE VILLANUEVA, DPM, PA
Practice address
125 E Merritt Island Cswy
Suite 209-310
Merritt Island, FL 32952-3699
Phone
(321) 480-7566
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Marie-Claire D Villanueva, D.P.M.
Title
President
Phone
(321) 213-0249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO 0002657 FL Primary

Addresses

Primary practice location

125 E Merritt Island Cswy
Suite 209-310
Merritt Island, FL 32952-3699

Mailing address

125 E Merritt Island Cswy
Suite 209-310
Merritt Island, FL 32952-3699
Phone (321) 480-7566

National Provider Directory

National Provider Directory

Locations

245 Willard St
Cocoa, FL 32922
Phone (321) 631-9014

125 E Merritt Ave
Merritt Island, FL 32953

497 N Washington Ave
Titusville, FL 32796
Phone (321) 243-8593

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1558706911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MERRITT ISLAND CSWY",
            "address_2": "SUITE 209-310",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523699",
            "telephone_number": "321-480-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MERRITT ISLAND CSWY",
            "address_2": "SUITE 209-310",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523699",
            "telephone_number": "321-480-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE CLAIRE VILLANUEVA, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "MARIE-CLAIRE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-213-0249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 0002657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.