Individual
DR. CARMEN L VILLAVECES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146
(305) 661-1515
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME47212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008497000
—
FL
01
—
07272
BCBS
FL
01
—
1372G
NCBCBS
NC
05
—
268409
—
SC
05
—
891372G
—
NC
Enumeration date
07/25/2006
Last updated
06/14/2018
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