| Villanueva Medical Group Llc | |
|
1451 Ne 4th Ave Fort Lauderdale FL 33304-1033 | |
| (954) 271-0135 | |
| (954) 271-0135 |
| Full Name | Villanueva Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1451 Ne 4th Ave, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Raul Villanueva (OWNER) |
| Authorized Official Contact | 9542710135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Villanueva Medical Group Llc 1451 Ne 4th Ave Fort Lauderdale FL 33304-1033 Ph: (954) 271-0135 | Villanueva Medical Group Llc 1451 Ne 4th Ave Fort Lauderdale FL 33304-1033 Ph: (954) 271-0135 |
| NPI Number | 1609120666 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 07/21/2023 |
| Medicare PECOS PAC ID | 7214189661 |
|---|---|
| Medicare Enrollment ID | O20121210000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609120666 | NPI | - | NPPES |
| ME98244 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME98244 (Florida) | Primary |
| Provider Name | Raul Villanueva |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265654263 PECOS PAC ID: 3072604917 Enrollment ID: I20070807000832 |
Howard S Khani D O P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2140 Ne 26th St, Fort Lauderdale, FL 33305 Phone: 954-396-3274 | |
National Imaging And Urgent Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W Commercial Blvd, Suite 20, Fort Lauderdale, FL 33309 Phone: 954-915-3028 Fax: 954-714-6078 | |
Flomed Infusion Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 N Federal Hwy Ste 301, Fort Lauderdale, FL 33308 Phone: 561-559-9800 | |
Robinson Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3079 E Commercial Blvd Ste 201, Fort Lauderdale, FL 33308 Phone: 727-692-8882 | |
Westside Hospitalist Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316 Phone: 954-355-4400 Fax: 954-835-0760 | |
Broward Community And Family Health Centers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Nw 26th St Bldg 19, Fort Lauderdale, FL 33311 Phone: 954-266-2999 Fax: 954-966-3320 | |
Jellinger & Lerman, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3107 Stirling Road, Suite 300, Fort Lauderdale, FL 33312 Phone: 954-963-7100 Fax: 954-337-2361 |