Villa Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VILLA MEDICAL CENTER

Doing business as

Villa Medical Center

Practice address

2441 NW 93Rd Ave Ste 102
Doral, FL 33172-4800

Phone

(786) 391-4464

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Minerva Perez, APRN-FNP-BCNPI 1497261895

Title

Director

Phone

(786) 301-0810

Specialties & licenses 1

Addresses

Other names 1

• VILLA MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Minerva Perez, ARNP

  • Family Nurse Practitioner
  • Doral, FL
  • NPI 1497261895
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1790424059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 NW 93RD AVE STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331724800",
            "telephone_number": "786-391-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 NW 93RD AVE STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331724800",
            "telephone_number": "786-391-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-301-0810",
        "authorized_official_credential": "APRN-FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLA MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VILLA MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liliet Vigo Gonzalez
• Marissa Vigo
• Mariella Vila Licea
• Dayana Vila
• Soraya Vilchez, PTA
• Cecilia Ciji Villaescusa
• Marco Augusto Villalba, RBT
• Ambar Hungria Villalobos
• Erika Kristina Villalobos
• Judy Villalobos, PHYSICIAN ASSISTANT

• Primary Care Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.