DR. PEDRO RAUL VILLANUEVA (NPI# 1851459606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851459606 |
| Entity Type | Individual |
| Full Name | DR. PEDRO RAUL VILLANUEVA |
| Credential | M.D. |
| Practice Address |
888 N Robert Ave Arcadia FL 34266-9580 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 8634948410 |
| Practice Fax Number | 8634915306 |
| Mailing Telephone | 9417764008 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME50602 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEA | BV0956031 | 01 |
| FL | 046388400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609986942 | Pedro Rafael Villanueva | Internal Medicine | 7364 Richmond Rd, Williamsburg, VA 23188-7220 | 2006-08-30 |
| Street Address |
888 N ROBERT AVE |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-9580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310761 | Gordon A Page Jr. | Family Medicine | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2005-10-17 |
| 1134599723 | Mcr Health, Inc. | Pediatrics | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2015-09-25 |
| 1578949038 | Mcr Health, Inc. | Family Medicine | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2015-08-07 |
| 1992023865 | Desoto County Hospital District | Clinic/Center | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2010-05-17 |
| 1538395488 | Kyle L Fairchild | Nurse Practitioner | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2009-06-05 |
| 1871737684 | Carey Rose | Physician Assistant | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2009-04-23 |
| 1124178975 | Mahendrakumar A Patel | Internal Medicine | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790182988 | Arcadia Pediatrics Plc | Pediatrics | 1014 N Mills Ave, Arcadia, FL 34266-8811 | 2014-12-03 |
| 1487097218 | Jayalakshmamma Bangaru | Pediatrics | 15 South Carol Pine Lane, Arcadia, CA 91007 | 2013-04-11 |
| 1407102031 | Agnes Chiang Jee | Pediatrics | 301 W Huntington Dr Ste 320, Arcadia, CA 91007-1500 | 2012-08-01 |
| 1659646636 | Charles E. Imbus, Md, Inc | Pediatrics | 665 W Naomi Ave Ste 202, Arcadia, CA 91007-7563 | 2012-03-09 |
| 1306027834 | Geraldine Uy Chen | Pediatrics | 520 Workman Ave, Arcadia, CA 91007-8455 | 2007-11-27 |
| 1831388982 | Fawn G Harrison | Pediatrics | 900 N Robert Ave, Arcadia, FL 34266-8712 | 2007-10-15 |
| 1750401964 | Willis Medical LLC | Pediatrics | 600 Factory Outlet Dr, Suite 12, Arcadia, LA 71001-3057 | 2007-03-30 |
| 1588712673 | Letrinh Hoang | Pediatrics | 51 N. 5th Ave., Suite 201, Arcadia, CA 91006-3739 | 2007-01-08 |
| 1427113588 | Melinda Willis | Pediatrics | 600 Factory Outlet Drive, Ste 12, Arcadia, LA 71001-3057 | 2006-12-27 |
| 1043305634 | Ana L Hernandez | Pediatrics | 250 N Brevard Ave Ste 2, Arcadia, FL 34266 | 2006-10-03 |
| Find all providers in ARCADIA | ||||
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| 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.