CORAL J VILLANUEVA DPM PA (NPI# 1437336690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437336690 |
| Entity Type | Organization |
| Organization Name | CORAL J VILLANUEVA DPM PA |
| Practice Address |
1090 Kane Concourse Suite 204 Bay Harbor Islands FL 33154-2130 |
| Mailing Address |
6540 Nw 114th Ave Apt 1403 Doral FL 33178-4587 |
| Practice Telephone | 3058939366 |
| Practice Fax Number | 3058934408 |
| Mailing Telephone | 7868593509 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | DR. CORAL J VILLANUEVA (PRESIDENT) |
| Authorized Official Telephone | 7868593509 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
PO3285 | FL | Ambulatory Health Care Facilities |
| Street Address |
1090 KANE CONCOURSE SUITE 204 |
| City | BAY HARBOR ISLANDS |
| State | FL |
| Zip Code | 33154-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760555742 | Ira Keith Levine | Ophthalmology | 1090 Kane Concourse, Suite 205, Bay Harbor Islands, FL 33154-2130 | 2006-11-16 |
| 1114228921 | Ira K Levine M.d. P.a. | Ophthalmology | 1090 Kane Concourse, Suite 205, Bay Harbor Islands, FL 33154-2130 | 2010-11-10 |
| 1689854291 | Barry University | Podiatrist | 1090 Kane Concourse, Suite 204, Bay Harbor Islands, FL 33154-2130 | 2007-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033582507 | Richard Fuisz | General Practice | 9101 East Bay, Suite 706, Bay Harbor Islands, FL 33154 | 2015-11-05 |
| 1144468323 | Gary L Curson Pa | Durable Medical Equipment & Medical Supplies | 9528 Harding Avenue, Surfside, FL 33154 | 2009-01-27 |
| 1043487648 | Steven D Weissman Dmd Pa | Dentist | 1031 Kane Concourse, Bay Harbor, FL 33154 | 2008-05-13 |
| 1427237817 | Ellen K Newburger | Psychologist | 1108 96th St, #209, Bay Harbor, FL 33154 | 2007-11-01 |
| 1316137433 | Linda Oxenberg | Social Worker | 9550 Bay Harbor Terrace, Suite 207, Bay Harbor, FL 33154 | 2007-07-25 |
| 1952513939 | Gabico Services Inc | Phlebology | 8446 South Dixie Hwy, Miami, FL 33154 | 2007-05-04 |
| 1396861894 | Vernon G Dorfman | Psychiatry & Neurology | 260 95th Street, 203 Surfside Professional Building, Surfside, FL 33154 | 2007-03-22 |
| 1780713792 | Oscar Farmati | Allergy & Immunology | 9240 W Bay Harbor Dr, Bay Harbor, FL 33154 | 2007-03-05 |
| 1932255643 | Silvia Galvis Lundstrom | Counselor | 1045 Kane Concourse, Suite 215, Bay Harbor Islands, FL 33154 | 2007-01-26 |
| 1881773521 | Estela Pinnavaria | Pharmacist | 15173 Ne 21 Ave, North Miami Beach, FL 33154 | 2006-11-03 |
| Find all providers in zip 33154 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
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| 1164997391 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 4207 59th St W, Bradenton, FL 34209-6663 | 2018-10-03 |
| 1124593355 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 2039 Little Rd Ste B, Trinity, FL 34655-4421 | 2018-10-03 |
| 1649745886 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 801 S Florida Ave Ste 1, Lakeland, FL 33801-5242 | 2018-10-03 |
| 1922535830 | Jemaar Graham Dpm Pa | Clinic/Center | 12839 Grand Bank Ln, Orlando, FL 32825-2737 | 2017-05-23 |
| 1306398839 | Modern Podiatry, Pa | Clinic/Center | 1151 Miranda Ln, Kissimmee, FL 34741-0763 | 2016-11-01 |
| 1346625522 | J&e Jackson Enterprises, Pllc | Clinic/Center | 1677 Eagle Harbor Pkwy # C, Fleming Island, FL 32003-4802 | 2015-07-29 |
| 1598023624 | Giselle Ojeda Dpm Pa | Clinic/Center | 6039 Collins Ave, 311, Miami Beach, FL 33140-2203 | 2012-04-26 |
| 1720363724 | J.m. Rehabilitation Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 157, Miami, FL 33173-3038 | 2011-10-21 |
| 1598941411 | Steven James Pangborn Dpm Pa | Clinic/Center | 4879 Coconut Creek Pkwy, Coconut Creek, FL 33063-3944 | 2008-01-10 |
| Find all providers with the same taxonomy | ||||
| City | BAY HARBOR ISLANDS |
| Zip Code | 33154 |
Please comment or provide details below to improve the information on CORAL J VILLANUEVA DPM PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.