Individual provider Active NPI

Enrique Villa, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1710240718
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114775 Issued in FL
Practice address
2001 NW 7TH St
Suite 300
Miami, FL 33125-3479
Phone
(305) 649-4231
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME114775 FL Primary

Addresses

Primary practice location

2001 NW 7TH St
Suite 300
Miami, FL 33125-3479

Mailing address

2001 NW 7TH St
Suite 300
Miami, FL 33125-3479

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714003106 FL Practitioner - Family Practice 7416260864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5803 NW 151 St
Suite 101
Miami Lakes, FL 33014-2473
Phone (305) 696-8802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos F Vallejo MD PA CurrentSince May 18, 2024 Accepting new patients
Leon Medical Centers LLC CurrentSince Apr 22, 2013 Accepting new patients
Optimal Health Care Center Corp CurrentSince Oct 20, 2022 Accepting new patients
Florida Doctors Services Corp Past Accepting new patients
Enrique Villa MD PA Past Accepting new patients

Locations

8600 NW 41st St
Doral, FL 33166
Phone (305) 642-1511

12485 SW 137th Ave
Ste 112
Miami, FL 33186
Phone (305) 964-5003

11501 SW 40th St
Miami, FL 33165
Phone (305) 646-3716

5803 NW 151st St
Ste 101
Miami Lakes, FL 33014
Phone (305) 696-8802

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1710240718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 NW 7TH ST",
            "address_2": "SUITE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NW 7TH ST",
            "address_2": "SUITE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253479",
            "telephone_number": "305-649-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.