Individual provider Active NPI

Justo H Villanueva, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1972768273
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME71662 Issued in FL
Practice address
13926 SW 47TH St
Miami, FL 33175-4404
Phone
(305) 340-5555
Fax
(786) 845-6697
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME71662 FL Primary

Addresses

Primary practice location

13926 SW 47TH St
Miami, FL 33175-4404

Mailing address

8333 NW 53Rd St FL 6
Doral, FL 33166-4783

Other practice location 1

4201 Palm Ave Ste C
Hialeah, FL 33012-4424
Phone (305) 823-0210

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address justo.villanueva@chealth.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000188 FL Practitioner - General Practice 8729135827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cano Health, LLCGroup PAC ID 1759565047, 141 clinicians

Practice addresses (Care Compare)

4201 Palm Ave
Hialeah, FL 33012-4424
Phone (855) 226-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME71662FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cano Health, LLC General Practice CurrentSince Oct 10, 2020 Accepting new patients
Vimed Center Inc General Practice PastSince Feb 9, 2009 Accepting new patients

Locations

8333 NW 53rd St
Fl 6
Doral, FL 33166

4201 Palm Ave
Hialeah, FL 33012
Phone (305) 556-2929

4201 Palm Ave
Ste C
Hialeah, FL 33012
Phone (305) 556-3131

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

12600 SW 120th St
Ste 101
Miami, FL 33186
Phone (305) 506-1930

13926 SW 47th St
Miami, FL 33175
Phone (305) 340-5555

13926 SW 47th St
Bldg F
Miami, FL 33175

12600 Pembroke Rd
Ste 208
Miramar, FL 33027
Phone (754) 400-7057

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

Interoperability endpoints

  • Direct secure messaging: justo.villanueva@chealth.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1972768273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST FL 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13926 SW 47TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754404",
            "telephone_number": "305-340-5555",
            "fax_number": "786-845-6697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Palm Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330124424",
            "country_code": "US",
            "telephone_number": "305-823-0210",
            "fax_number": "786-567-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "JUSTO",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME71662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justo.villanueva@chealth.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13926 SW 47th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331754404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.