| Luis A Vergara Villareal, MD | |
|
1600 W Oakland Park Blvd, Oakland Park, FL 33311-1520 | |
| (754) 200-8248 | |
| (954) 400-5485 |
| Full Name | Luis A Vergara Villareal |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1600 W Oakland Park Blvd, Oakland Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932893302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 22927 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN1560 (Florida) | Primary |
| Entity Name | American Care Of South Florida, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477754539 PECOS PAC ID: 9032354402 Enrollment ID: O20130408000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis A Vergara Villareal, MD 1807 Sw 153rd Pass, Miami, FL 33185-5722 Ph: (786) 260-9845 | Luis A Vergara Villareal, MD 1600 W Oakland Park Blvd, Oakland Park, FL 33311-1520 Ph: (754) 200-8248 |
Joel Anibal Marmolejos Nunez, MD General Practice Medicare: Medicare Enrolled Practice Location: 1600 W Oakland Park Blvd, Oakland Park, FL 33311 Phone: 754-200-8248 | |
Dr. Leovigildo J Reyes, M.D. General Practice Medicare: May Accept Medicare Assignments Practice Location: 4401 N Andrews Ave, Oakland Park, FL 33309 Phone: 954-900-4686 Fax: 954-900-2655 |