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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669693933 NPPES
Florida MEDICAID 069249200

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