Marcelo Allen Villalba

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2969 Issued in FL

Practice address

6041 SW 54TH St Ste 200
Ocala, FL 34474-5521

Phone

(352) 857-8417

Fax

(352) 877-2083

NPI assigned

Sep 28, 2006

Last updated

Apr 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mobile Foot Doc LLC

  • Podiatrist
  • Naples, FL
  • NPI 1699270108
  NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1891887949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 SW 54TH ST STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745521",
            "telephone_number": "352-857-8417",
            "fax_number": "352-877-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 SW 54TH ST STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745521",
            "telephone_number": "352-857-8417",
            "fax_number": "352-877-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALBA",
        "first_name": "MARCELO",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Vidal, MD
• Lisandra Vidal, DNP, ARNP, CPNP-PC
• Ari Vidallo, FNP-C
• Yudiel Viera Gonzalez
• Village Home Care, LLC
• Carmen Mercedes Villanueva, MD
• Estephanie Villanueva
• Jennifer Lynn Villanueva
• Rebekah Marie Villar Mondry, DMD, MPH, MSW
• Danitza Villar

• Foot & Ankle Surgery Podiatrist in Ocala, FL
• Providers in Ocala, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.