Individual
ANDRES G. VILLACRESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9276156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007273800
—
FL
01
—
1308583
CIGNA
FL
01
—
9252937
AETNA
FL
01
—
P01111858
RAILROAD MCR
FL
01
—
P01366891
RR MEDICARE
FL
01
—
P100420
FREEDOM HEALTH
FL
01
—
P1004200
FREEDOM
FL
01
—
P944975
OPTIMUM
FL
01
—
Y0E6T
BCBS FL
FL
Enumeration date
10/12/2012
Last updated
03/30/2021
Update your record
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