MRS. JUDY VILLALOBOS (NPI# 1134382922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134382922 |
| Entity Type | Individual |
| Full Name | MRS. JUDY VILLALOBOS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
9655 Nw 41st St Doral FL 33178-2973 |
| Mailing Address |
900 S Pine Island Rd Ste 800 Plantation FL 33324-3923 |
| Practice Telephone | 3054361563 |
| Practice Fax Number | 3054361564 |
| Mailing Telephone | 3054361563 |
| Mailing Fax Number | 3054361564 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104568 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002807900 | 05 |
| Street Address |
9655 NW 41ST ST |
| City | DORAL |
| State | FL |
| Zip Code | 33178-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801882899 | Victoria Helena Fierro-cobas | Pediatrics | 9655 Nw 41st St, Doral, FL 33178-2973 | 2005-09-23 |
| 1114418878 | Ivan Vivanco | Nurse Practitioner | 9655 Nw 41st St, Doral, FL 33178-2973 | 2018-05-29 |
| 1285173708 | Julio Triay | Nurse Practitioner | 9655 Nw 41st St, Doral, FL 33178-2973 | 2017-02-16 |
| 1720468341 | Carolina Bautista Vallderuten | Pediatrics | 9655 Nw 41st St, Doral, FL 33178-2973 | 2015-06-09 |
| 1992110985 | Mayda Torres Colon | Pediatrics | 9655 Nw 41st St, Doral, FL 33178-2973 | 2014-06-27 |
| 1598185217 | Eduardo Ajuria | Pediatrics | 9655 Nw 41st St, Doral, FL 33178-2973 | 2014-04-21 |
| 1972846913 | Melanie Iglesias | Pediatrics | 9655 Nw 41st St, Doral, FL 33178-2973 | 2013-03-28 |
| 1851647986 | Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | 9655 Nw 41st St, Doral, FL 33178-2973 | 2012-07-26 |
| 1376849034 | Gabriela Almeida | Physician Assistant | 9655 Nw 41st St, Doral, FL 33178-2973 | 2011-01-28 |
| 1760554422 | Ana Maria Castaneda | Pediatrics | 9655 Nw 41st St, Doral, FL 33178-2973 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571801 | The Velis Brothers Dental Team | Dentist | 10449 Nw 41 St., Doral, FL 33178 | 2020-09-03 |
| 1316598188 | Marli Catturini Echegoyen | Behavior Technician | 8652 Nw 112th Ct, Doral, FL 33178 | 2019-09-24 |
| 1700343043 | Matilde Lidia Lewis | Registered Nurse | 9915 Nw 41 St, Suite 230, Doral, FL 33178 | 2019-02-22 |
| 1700366622 | Polyclinic Healthcare Corp | Family Medicine | 10800 Nw 58th St, Doral, FL 33178 | 2018-08-20 |
| 1689022691 | Zeida M Prendes-guerra | Behavioral Analyst | 5620 Nw 107th Ave Apt 1512, Doral, FL 33178 | 2016-05-31 |
| 1437519014 | Isel Gonzalez | Nurse Practitioner | 11573 Nw 69 Terr, Doral, FL 33178 | 2016-02-25 |
| 1114335189 | Mia Mccarthy | Student in an Organized Health Care Education/Training Program | 10045 Nw 46th St, Doral, FL 33178 | 2014-07-23 |
| 1043641269 | Ultimate Performance Fitness Consultants Pl | Clinic/Center | 9831 Nw 58th St #130, Doral, FL 33178 | 2013-12-13 |
| 1871924845 | Silvana Newman | Behavioral Analyst | 8249 Nw 36th Street Suite 206, Miami, FL 33178 | 2013-12-02 |
| 1154755478 | Dina Garabedian | Physician Assistant | 7952 Nw 114th Ct, Miami, FL 33178 | 2013-08-22 |
| Find all providers in zip 33178 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679010334 | Jophiel Perez | Physician Assistant | 4001 Nw 97th Ave Ste 101, Doral, FL 33178-2384 | 2017-01-19 |
| 1699172205 | Natalie Anne Stecko | Physician Assistant | 2801 Nw 87th Ave Unit 7, Doral, FL 33172-1603 | 2014-11-25 |
| 1376849034 | Gabriela Almeida | Physician Assistant | 9655 Nw 41st St, Doral, FL 33178-2973 | 2011-01-28 |
| 1114168044 | Sylvia Marie Vives-montano | Physician Assistant | 9851 Nw 58th St Unit 109, Doral, FL 33178-2717 | 2009-03-24 |
| 1386779486 | Dania Acebo | Physician Assistant | 9851 Nw 58th St, Suite 125, Doral, FL 33178-2716 | 2007-02-22 |
| 1003977042 | Rene' Janelle Chadwell | Physician Assistant | 3511 Nw 91st Ave, Doral, FL 33172-1216 | 2006-12-13 |
| 1912915604 | Jorge G Cheng | Physician Assistant | 4005 Nw 114th Ave, Suite 22, Doral, FL 33178-4374 | 2006-08-04 |
| 1588646640 | Edwin Xavier Gutierrez | Physician Assistant | 3511 Nw 91st Ave, Doral, FL 33172-1216 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
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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.