Active NPI
Fernando Mendez Villamil MD PA
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1659545192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0075685
- Legal business name
- FERNANDO MENDEZ VILLAMIL MD PA
- Practice address
- 1898 SW 22ND Street
Suite B
Miami, FL 33145-2731 - Phone
- (305) 860-8484
- Fax
- (305) 860-2084
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fernando Mendez Villamil, M.D.
- Title
- Owner
- Phone
- (308) 860-8484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0075685 | FL | Primary |
Addresses
Primary practice location
1898 SW 22ND Street
Suite B
Miami, FL 33145-2731
Mailing address
1898 SW 22ND Street
Suite B
Miami, FL 33145-2731
Phone (305) 860-8484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600012584 | Other | FL | MAGELLAN HEALTH SERVICES |
| 255161600 | Medicaid | FL |
Other names 1
- Fernando Mendez Villamil
National Provider Directory
National Provider DirectoryLocations
1898 Coral Way
#B
Miami, FL 33145
Phone (305) 860-8484
1898 SW 22nd St
#B
Miami, FL 33145
Phone (305) 860-8484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287014400000",
"number": "1659545192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1898 SW 22ND STREET",
"address_2": "SUITE B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331452731",
"telephone_number": "305-860-8484",
"fax_number": "305-860-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1898 SW 22ND STREET",
"address_2": "SUITE B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331452731",
"telephone_number": "305-860-8484",
"fax_number": "305-860-2084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERNANDO MENDEZ VILLAMIL MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2010-10-14",
"status": "A",
"authorized_official_last_name": "MENDEZ VILLAMIL",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "308-860-8484",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0075685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "600012584",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255161600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fernando Mendez Villamil",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.