Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | ME43761 | FL |
NPI | 1316057763 |
---|---|
Provider Name | Dr. Letty M. Villa |
First Address | Coral Gables, FL 33143 |
Second Address | Coral Gables, FL 33143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 07/12/2018 |