Organization Active NPI

Marie-Claire Villanueva DPM PA

  • Podiatrist
  • Merritt Island, FL
National Provider Identifier
1659770295
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2657 Issued in FL
Legal business name
MARIE-CLAIRE VILLANUEVA DPM PA
Practice address
227 Sykes Loop Dr
Merritt Island, FL 32953-3074
Phone
(321) 213-0249
Fax
(866) 590-7237
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Marie-Claire Villanueva, DPMNPI 1649356957
Title
Owner
Phone
(321) 213-0249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO2657 FL Primary

Addresses

Primary practice location

227 Sykes Loop Dr
Merritt Island, FL 32953-3074

Mailing address

227 Sykes Loop Dr
Merritt Island, FL 32953-3074
Phone (321) 213-0249

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1659770295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SYKES LOOP DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533074",
            "telephone_number": "321-213-0249",
            "fax_number": "866-590-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SYKES LOOP DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533074",
            "telephone_number": "321-213-0249",
            "fax_number": "866-590-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE-CLAIRE VILLANUEVA DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "MARIE-CLAIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-213-0249",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.