Individual provider Active NPI

Yasnay Gomez Villiva, MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1578038261
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1757 Issued in FL
Practice address
383 W 34TH St
Hialeah, FL 33012-4309
Phone
(305) 823-3312
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1757 FL Primary
Case Manager/Care Coordinator 171M00000X
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 24695 PR

Addresses

Primary practice location

383 W 34TH St
Hialeah, FL 33012-4309

Mailing address

4814 SW 145TH Ave
Miami, FL 33175-5006
Phone (786) 532-7043

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117002294 FL Order and Referring Only - General PracticePractitioner - General Practice 2466943535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1757FLMDGeneral Practice Physician
24695PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1578038261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 SW 145TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755006",
            "telephone_number": "786-532-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 W 34TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124309",
            "telephone_number": "305-823-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ VILLIVA",
        "first_name": "YASNAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1757",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "24695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.