# VILLA VALER SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508317215
- **Authorized official:** MR. MAURICIO MARTIN (PRESIDENT)
- **Authorized official phone:** (305) 964-7717

## Contact information

- **Practice address:** 20342 SW 129TH PL, MIAMI, FL 33177-5506
- **Practice address phone:** (305) 964-7717
- **Practice address fax:** (305) 964-7717
- **Mailing address:** 20342 SW 129TH PL, MIAMI, FL 33177-5506
- **Mailing address phone:** (305) 964-7717
- **Mailing address fax:** (305) 964-7717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 11-1158-GH | FL | Yes |

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 10/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 016584900 | — | FL |