Manuel M Vila, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9100758 Issued in FL

Practice address

8102 NW 158TH Ter
Miami Lakes, FL 33016-7119

Phone

(305) 586-0717

Fax

(305) 819-9714

NPI assigned

Dec 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Surg Med Assistants

  • Surgical Physician Assistant
  • Miami Lakes, FL
  • NPI 1053470849
  NPD (past) Authorized official
• Surg Med of Northshore

  • Surgical Physician Assistant
  • Miami Lakes, FL
  • NPI 1316006117
  NPD (past) Authorized official
• Thoracic & Cardiovascular Surgeons LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Atlantis, FL
  • NPI 1649212416
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1720147515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 NW 158TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330167119",
            "telephone_number": "305-586-0717",
            "fax_number": "305-819-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 NW 158TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330167119",
            "telephone_number": "305-586-0717",
            "fax_number": "305-819-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILA",
        "first_name": "MANUEL",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9100758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290869700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Vidal
• Doraymis Viera
• Claudia Vigoa, RBT
• Danislady Vigoa
• Shivkumar Vijayakumar
• Villa Linda Inc
• Benjamin R Villalba, MD
• Janet Villalobos, ARNP
• Nicole C Villalobos
• Ariana Elizabeth Villamia, OTR/L

• Surgical Physician Assistant in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.