Villa, Marivic Delos Reyes

Villa, Marivic Delos Reyes is an individual health care provider with primary practice located at 10250 Se 167Th Place Rd Suite 5, Summerfield FL 34491-8686. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Villa, Marivic Delos Reyes can be contacted via phone (352) 307-9925.

Contact Information

Primary practice address
10250 Se 167Th Place Rd Suite 5 Summerfield FL 34491-8686
Phone: (352) 307-9925
Fax: (352) 307-8442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME68756 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME68756 Florida

Profile Details

NPI number 1629092564
LBN Legal business name Villa, Marivic Delos Reyes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 8th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629092564 NPPES
Florida MEDICAID 378148800

Popular Providers