BENJAMIN R VILLALBA (NPI# 1669693933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669693933 |
| Entity Type | Individual |
| Full Name | BENJAMIN R VILLALBA |
| Credential | MD |
| Practice Address |
14875 Nw 77th Avenue Suite #100 Miami Lakes FL 33014 |
| Mailing Address |
1155 San Pedro Avenue Coral Gables FL 33156 |
| Practice Telephone | 3058222380 |
| Practice Fax Number | 3058240665 |
| Mailing Telephone | 3056670805 |
| Mailing Fax Number | 3056677731 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME 33974 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 069249200 | 05 |
| Street Address |
14875 NW 77TH AVENUE SUITE #100 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1699301333 | Alexander Tamayo Ochoa | Nurse Practitioner | 5400 Nw 159 St Apt 123, Hialeah, FL 33014 | 2020-03-13 |
| 1609336114 | Edward Alexander Pardo | Counselor | 6225 Miami Lakes Drive, Hialeah, FL 33014 | 2019-03-21 |
| 1780158394 | Remedys Nutrition Cv | Pharmacy | 7331 Miami Lakes Dr, Miami Lakes, FL 33014 | 2019-01-16 |
| 1962993642 | Yuleika Rodriguez Gonzalez | Behavior Technician | 6961 W 14th Ct Apt 203, Hialeah, FL 33014 | 2018-05-29 |
| 1730676719 | Bright Steps Therapy Services LLC | Physical Therapy Assistant | 1900 W 68th St Apt E306, Hialeah, FL 33014 | 2018-04-16 |
| 1093211443 | One Soul Cmh Inc | Case Management | 5803 Nw 151st St Ste 202, Miami Lakes, FL 33014 | 2018-04-04 |
| 1528560331 | Yuramis Perez Salvador | Behavior Technician | 8365 W 18 Lane Dr, Hialeah, FL 33014 | 2018-03-07 |
| 1396253613 | Miami Lakes Behavioral Services Corp | Behavioral Analyst | 6001 Nw 153rd Street, Suite 157, Miami Lakes, FL 33014 | 2018-01-22 |
| 1447768452 | Ballast Medical Management, LLC. | Exclusive Provider Organization | 6001 Nw 153rd St Ste 100, Miami Lakes, FL 33014 | 2018-01-12 |
| Find all providers in zip 33014 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355887 | Orange Care Physician Partners of Florida, LLC | Internal Medicine | 14750 Nw 77th Ct Ste 308, Miami Lakes, FL 33016-1537 | 2020-10-27 |
| 1316550502 | Lyfe Rehab and Wellness Center | Internal Medicine | 6175 Nw 153rd St Ste 204, Miami Lakes, FL 33014-2435 | 2020-08-26 |
| 1366922072 | Internal Medicine Specialist of Florida Inc | Internal Medicine | 16861 Nw 78th Ct, Miami Lakes, FL 33016-8443 | 2018-08-21 |
| 1639547177 | Jose V Perez Do Pa | Internal Medicine | 15538 Nw 83rd Pl, Miami Lakes, FL 33016-5862 | 2015-09-14 |
| 1790121325 | Interamerican Medical Center Group LLC | Internal Medicine | 15105 Nw 77th Ave, Miami Lakes, FL 33014-7803 | 2013-05-22 |
| 1477819357 | Betty Forte | Internal Medicine | 5801 Miami Lakes Dr. East, Miami Lakes, FL 33014 | 2012-04-05 |
| 1588896120 | Aldo Heriberto Martinez Fleites | Internal Medicine | 8545 Nw 166th Ter, Miami Lakes, FL 33016-6168 | 2009-08-16 |
| 1962659599 | Misael Alberto Prieto | Internal Medicine | 15529 Miami Lakeway N, 202, Miami Lakes, FL 33014-5583 | 2008-08-26 |
| 1194829747 | Delia Ochoa-garcia | Internal Medicine | 5961 Nw 173rd Drive, Miami Lakes, FL 33015 | 2006-09-12 |
| 1992748149 | Jose Ernesto Betancourt | Internal Medicine | 13903 Nw 67th Ave Ste 250, Miami Lakes, FL 33014-2938 | 2006-06-14 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33014 |
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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.