Jose L Villacob (NPI# 1255936910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1255936910 |
| Entity Type | Individual |
| Full Name | Jose L Villacob |
| Gender | Male |
| Practice Address |
10425 Sw 112th Ave Apt 309 Miami FL 33176-8214 |
| Practice Telephone | 7862348308 |
| Mailing Address |
10425 Sw 112th Ave Apt 309 Miami FL 33176-8214 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 363LF0000X | Nurse Practitioner · Family | Physician Assistants & Advanced Practice Nursing Providers | 11004600 | FL |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| FL | 9465314374 | MEDICAID |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come… |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881280915 | Giselle Aguiar Barquie | Nurse Practitioner | 8000 Sw 12th St, Miami, FL 33144-4324 | 2020-12-13 |
| 1861088080 | Lazaro Moreu Jr. | Nurse Practitioner | 4935 Sw 112th Ave, Miami, FL 33165-6148 | 2020-12-13 |
| 1265038483 | Mariol Paez | Nurse Practitioner | 13261 Nw 9th Ter, Miami, FL 33182-1824 | 2020-12-11 |
| 1992391163 | Adrian Barbosa Rivas | Nurse Practitioner | 9001 Sw 122nd Ave Apt 210, Miami, FL 33186-2011 | 2020-12-11 |
| 1144826538 | Gloria Lucy Rey | Nurse Practitioner | 8260 W Flagler St Ste 1j, Miami, FL 33144-2069 | 2020-12-10 |
| 1225634728 | Kirby Megan Busca | Nurse Practitioner | 2400 Sw 69th Avenue, Miami, FL 33155 | 2020-12-09 |
| 1396341483 | Alfredo Gonzalez | Nurse Practitioner | 3360 Sw 139th Ave, Miami, FL 33175-6706 | 2020-12-05 |
| 1487259685 | Dunia Alfonso | Nurse Practitioner | 8990 Nw 21st Ct, Miami, FL 33147-3600 | 2020-12-03 |
| 1609471861 | Leandro Jesus Esteva | Nurse Practitioner | 14620 Sw 51st St, Miami, FL 33175-5742 | 2020-12-03 |
| 1982209557 | Lian-kim Clark | Nurse Practitioner | 12519 Sw 122nd Path, Miami, FL 33186-9045 | 2020-12-02 |
| Find all providers in MIAMI | ||||
| Street Address |
10425 SW 112TH AVE APT 309 |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-8214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavior Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavior Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
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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.