| Brian Villa, Md Pllc | |
|
1818 W Flagler St Ste 202 Miami FL 33135-1915 | |
| (786) 794-2655 | |
| (305) 402-0941 |
| Full Name | Brian Villa, Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1818 W Flagler St Ste 202, Miami, Florida |
| Authorized Official Name and Position | Brian Villa (OWNER) |
| Authorized Official Contact | 7867942655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Villa, Md Pllc 1818 W Flagler St Ste 202 Miami FL 33135-1915 Ph: (786) 794-2655 | Brian Villa, Md Pllc 1818 W Flagler St Ste 202 Miami FL 33135-1915 Ph: (786) 794-2655 |
| NPI Number | 1114788064 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Medicare PECOS PAC ID | 1557704293 |
|---|---|
| Medicare Enrollment ID | O20240208004652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114788064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Brian Villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861843906 PECOS PAC ID: 2769812833 Enrollment ID: I20200414002044 |
| Provider Name | Alberto Oyaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558068403 PECOS PAC ID: 6103270038 Enrollment ID: I20230927000763 |
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