Ricardo Villalobos PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

RICARDO VILLALOBOS PA

Practice address

16606 Broadwater Ave
Winter Garden, FL 34787

Phone

(407) 778-4796

NPI assigned

Jan 17, 2019

Last updated

Jan 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricardo Villalobos, MDNPI 1073719084

Title

President

Phone

(787) 548-4762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Ricardo Villalobos, M.D.

  • Neurology Physician
  • Kissimmee, FL
  • NPI 1073719084
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1811461353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16606 BROADWATER AVE",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-778-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16606 BROADWATER AVE",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-778-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO VILLALOBOS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-548-4762",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliant Diagnostic Laboratories LLC
• Resilient Living Solutions, LLC
• Yashira Marie Reyes Richard, RBT
• Kelly Reyes, ARNP, FNP-BC
• Emily Rose Ribeiro, MD
• Kaitlyn Joan Rice
• Emily Shelley Rich, PA-C
• Jennifer Rich
• Latasha Denea Richardson, NP
• Logan Stanmore Richardson, DO

• Neurology Physician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.