Organization Active NPI

Fernando Mendez Villamil MD PA

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1659545192
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0075685 Issued in FL
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

Updated by the provider on Oct 14, 2010

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
600012584OtherFLMAGELLAN HEALTH SERVICES
255161600MedicaidFL

Other names 1

  • Fernando Mendez Villamil Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.