Villalba, Benjamin R
Villalba, Benjamin R is an individual health care provider with primary practice located at 14875 Nw 77Th Avenue Suite #100, Miami Lakes FL 33014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Villalba, Benjamin R can be contacted via phone (305) 822-2380.Contact Information
Primary practice address
14875 Nw 77Th Avenue Suite #100
Miami Lakes FL 33014
Phone: (305) 822-2380
Fax: (305) 824-0665
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME 33974 | Florida |
Profile Details
NPI number | 1669693933 |
---|---|
LBN Legal business name | Villalba, Benjamin R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 2nd, 2007 |
Last updated | Apr 26th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669693933 | NPPES |
Florida | MEDICAID | 069249200 |
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