| Dr Juan Villarroel, MD | |
|
4850 W Oakland Park Blvd Ste 148, Lauderdale Lakes, FL 33313-7277 | |
| (954) 735-1200 | |
| Not Available |
| Full Name | Dr Juan Villarroel |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 4850 W Oakland Park Blvd Ste 148, Lauderdale Lakes, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174577506 | NPI | - | NPPES |
| ME0061445 | Other | FL | MEDICAL LICENSE |
| 373244400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0061445 (Florida) | Primary |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Juan Villarroel, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Dr Juan Villarroel, MD 4850 W Oakland Park Blvd Ste 148, Lauderdale Lakes, FL 33313-7277 Ph: (954) 735-1200 |
Dr. Jaskaran Kaur Purewal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 305-928-7249 Fax: 305-630-3632 | |
Johana Elizabeth Marti Pineda, APRN Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4900 W Oakland Park Blvd Ste 207, Lauderdale Lakes, FL 33313 Phone: 954-735-7550 | |
Dr. Vanessa Monique Mitchell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3487 Nw 30th St, Lauderdale Lakes, FL 33311 Phone: 872-231-3162 | |
Mr. Diego Echeverri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2951 Nw 49th Ave., Suite #101, Lauderdale Lakes, FL 33313 Phone: 954-739-2511 Fax: 954-739-9239 | |
Mr. Dario Sebastian Borja Flores, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2589 N State Road 7, Lauderdale Lakes, FL 33313 Phone: 954-714-1264 Fax: 954-320-7142 | |
Daniel Melman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000 | |
Regina B Portnova, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2951 Nw 49th Ave, Suite 201, Lauderdale Lakes, FL 33313 Phone: 945-486-5700 Fax: 954-484-2574 |