Organization Active NPI

Maria Theresa F. Villa, M.D. LLC

  • Adult Medicine Physician
  • Honolulu, HI
National Provider Identifier
1821538372
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD18655 Issued in HI
Legal business name
MARIA THERESA F. VILLA, M.D. LLC
Practice address
634 Kalihi St
Honolulu, HI 96819-4000
Phone
(808) 845-3911
Fax
(808) 848-0870
NPI assigned
Mar 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Dr. Maria Theresa Flores Villa, M.D.
Title
Member
Phone
(808) 845-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X MD18655 HI Primary

Addresses

Primary practice location

634 Kalihi St
Honolulu, HI 96819-4000

Mailing address

634 Kalihi St
Honolulu, HI 96819-4000
Phone (808) 845-3911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1821538372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 KALIHI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194000",
            "telephone_number": "808-845-3911",
            "fax_number": "808-848-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 KALIHI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194000",
            "telephone_number": "808-845-3911",
            "fax_number": "808-848-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA THERESA F. VILLA, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "MARIA THERESA",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-845-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "HI",
            "license": "MD18655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.