Individual provider Active NPI

Daniel Villanueva, ARNP

  • Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1629180997
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2729672 Issued in FL
Practice address
6200 SW 73Rd St
South Miami, FL 33143-4679
Phone
(305) 665-4614
Fax
(305) 667-0239
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2729672 FL Primary

Addresses

Primary practice location

6200 SW 73Rd St
South Miami, FL 33143-4679

Mailing address

5901 SW 74TH St
Suite 202
Miami, FL 33143-5165
Phone (305) 665-4614

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
I20040615000644 FL Practitioner - Nurse Practitioner 3870577141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

1228 S Pine Island Rd
Suite 110
Plantation, FL 33324-4580
Phone (954) 837-1410

12472 W Sunrise Blvd
Sunrise, FL 33323-2987
Phone (954) 837-1245

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

15885 Pines Blvd
Pembroke Pines, FL 33027-1220
Phone (954) 837-1300

1652 Town Ctr Cir
Weston, FL 33326-3666
Phone (954) 837-1150

4741 S University Dr
Davie, FL 33328-3819
Phone (954) 837-1050

6264 W Sample Rd
Suite 100
Coral Springs, FL 33067-3273
Phone (954) 837-1020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc CurrentSince Nov 16, 2015 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Nov 16, 2015 Accepting new patients
Criticare Clinics Inc CurrentSince Nov 20, 2011 Accepting new patients
Baptist Health Urgent Care Weston Past Accepting new patients
South Miami Criticare Inc. Nurse Practitioner Past Accepting new patients

Locations

1240 S Dixie Hwy
Coral Gables, FL 33146
Phone (305) 669-2833

10 Giralda Ave
Coral Gables, FL 33134
Phone (786) 459-5000

6264 W Sample Rd
Ste 100
Coral Springs, FL 33067
Phone (954) 837-1010

6264 W Sample Rd
Coral Springs, FL 33067
Phone (954) 837-1010

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

9915 NW 41st St
Doral, FL 33178
Phone (305) 271-8851

8400 NW 53rd St
Miami, FL 33166

2660 Brickell Ave
Miami, FL 33129
Phone (786) 467-5320

709 Alton Rd
Ste 440
Miami Beach, FL 33139
Phone (786) 595-8220

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

1228 S Pine Island Rd
Ste 110
Plantation, FL 33324
Phone (305) 669-2833

5901 SW 74th St
Ste 202
South Miami, FL 33143
Phone (305) 665-2059

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

12472 W Sunrise Blvd
Sunrise, FL 33323
Phone (305) 297-3561

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629180997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST",
            "address_2": "SUITE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331435165",
            "telephone_number": "305-665-4614",
            "fax_number": "305-667-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "305-665-4614",
            "fax_number": "305-667-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "DANIEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2729672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.