Individual provider Active NPI

Pedro Pablo Garcia Villalon

  • Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1649974734
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11024863 Issued in FL
Practice address
1806 N Flamingo Rd Ste 280
Pembroke Pines, FL 33028-1031
Phone
(305) 982-8810
NPI assigned
Mar 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11024863 FL
Nurse Practitioner 363L00000X 11024863 FL Primary

Addresses

Primary practice location

1806 N Flamingo Rd Ste 280
Pembroke Pines, FL 33028-1031

Mailing address

1806 N Flamingo Rd Ste 280
Pembroke Pines, FL 33028-1031
Phone (305) 982-8810

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
I20230907003105 FL Practitioner - Nurse Practitioner 1557725660 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024863FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Estrella Medical Services Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

4795 W Flagler St
Coral Gables, FL 33134
Phone (305) 443-6666

664 E 25th St
Ste 103
Hialeah, FL 33013
Phone (305) 551-8485

1806 N Flamingo Rd
Ste 280
Pembroke Pines, FL 33028
Phone (305) 854-5631

Organizations & group practices 1

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1649974734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 280",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281031",
            "telephone_number": "305-982-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 280",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281031",
            "telephone_number": "305-982-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA VILLALON",
        "first_name": "PEDRO",
        "middle_name": "PABLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024863",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11024863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.