Active NPI
Vivian D. Angulo Villanueva, MD
- Family Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME138724
- Practice address
- 6703 38TH Ave N
St Petersburg, FL 33710-1536 - Phone
- (727) 213-5377
- Fax
- (727) 828-9639
- NPI assigned
- May 31, 2007
- Last updated
- Oct 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13973 | PR | |
| Family Medicine Physician | 207Q00000X | ME138724 | FL | Primary |
Addresses
Primary practice location
6703 38TH Ave N
St Petersburg, FL 33710-1536
Mailing address
PO Box 850001, Dept 8340
Orlando, FL 32885-0001
Phone (855) 536-7277
Other names 1
- Dr. Vivian D Angulo Villanueva
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040218000594 | PR | Practitioner - General Practice | 8426943481 | Practice locations: Manati, PR |
| I20160808000037 | FL | Practitioner - Family Practice | 8426943481 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1117 S Semoran Blvd
Orlando, FL 32807-1480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hernando Pasco Primary Care LLC | Specialist | Current | Accepting new patients |
| Idelis Fedeslinda Arias de la Torre | Family Medicine | Past | Accepting new patients |
| Independant Ipa,LLC | Specialist | Past | Accepting new patients |
| Orlando Family Physicians, LLC | Past | Accepting new patients |
Locations
11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032
2 N Belcher Rd
Clearwater, FL 33765
Phone (727) 449-2224
10225 Ulmerton Rd
Ste 1A
Largo, FL 33771
Phone (727) 585-7408
2780 E Bay Dr
Largo, FL 33771
Phone (727) 535-3489
6703 38th Ave N
St Petersburg, FL 33710
Phone (727) 213-5377
Interoperability endpoints
- https://api.platform.athenahealth.com/12591/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/CIDHCD
- https://fhir4.healow.com/fhir/r4/HIBHCD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MyCare Medical
- Internal Medicine Physician
- Lutz, FL
- NPI 1245273093
Specialist
-
- General Practice Physician
- Seffner, FL
- NPI 1639747595
Family Medicine
-
- Specialist
- Hudson, FL
- NPI 1720415474
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1730380197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850001, DEPT 8340",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328850001",
"telephone_number": "855-536-7277",
"fax_number": "855-830-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6703 38TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101536",
"telephone_number": "727-213-5377",
"fax_number": "727-828-9639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGULO VILLANUEVA",
"first_name": "VIVIAN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "13973",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME138724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VIVIAN",
"last_name": "ANGULO VILLANUEVA",
"middle_name": "D",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.