Individual
MATEO VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11750 BIRD RD, MIAMI, FL 33175-3530
(305) 223-2000
Mailing address
1859 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6614
(404) 202-3261
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0073680
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2019
Last updated
03/06/2025
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