Individual provider Active NPI

Gustavo Villazon

  • Social Worker
  • Miami, FL
National Provider Identifier
1841856325
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
9600 SW 8TH St Ste 1
Miami, FL 33174-2947
Phone
(786) 615-8388
Fax
(786) 615-8436
NPI assigned
May 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

9600 SW 8TH St Ste 1
Miami, FL 33174-2947

Mailing address

5253 SW 164TH CT
Miami, FL 33185-5135
Phone (786) 797-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1841856325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 SW 164TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855135",
            "telephone_number": "786-797-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742947",
            "telephone_number": "786-615-8388",
            "fax_number": "786-615-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAZON",
        "first_name": "GUSTAVO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.