Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | ME47212 | FL |
NPI | 1124041181 |
---|---|
Provider Name | Dr. Carmen L Villaveces |
First Address | Coral Gables, FL 33146-2423 |
Second Address | Coral Gables, FL 33146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 14/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008497000 | (05) | FL |
07272 | BCBS (01) | FL |
1372G | NCBCBS (01) | NC |
268409 | (05) | SC |
891372G | (05) | NC |
D84954 | (02) | NC |