Marla Vionette Villar, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN900 Issued in FL

Practice address

1100 Cesery Blvd
Jacksonville, FL 32211-5674

Phone

(904) 551-5884

Fax

(904) 562-3384

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• American Care of North Florida, Inc

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1053679787
  Medicare reassignment NPD
• American Care of North Florida, Inc

  • General Practice Physician
  • Winter Haven, FL
  • NPI 1689934648
  NPD
• The Doctors Center Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1235955022
  NPD
• Concilio de Salud Integral de Loiza, Inc.

  • Federally Qualified Health Center (FQHC)
  • Loiza, PR
  • NPI 1558664102

  General Practice

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1992817548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 SW 268TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328001",
            "telephone_number": "305-278-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115674",
            "telephone_number": "904-551-5884",
            "fax_number": "904-562-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAR",
        "first_name": "MARLA",
        "middle_name": "VIONETTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN900",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "013678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis B Villanueva, PT
• Karen Villanueva, LMHC
• Oscar Bryan Kelley Villanueva, PT
• Rosette Aileen Villanueva, APRN
• Ruel Villanueva
• Ashlyn Villarreal
• Bruce Villas, MD
• Emily Villatoro
• Benjamin J Villavicencio-Lazo, PHARM.D.
• Raquel M Villavicencio, MD

• General Practice Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.