Individual
JUSTO H VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13926 SW 47TH ST, MIAMI, FL 33175-4404
(305) 340-5555
(786) 845-6697
Mailing address
8333 NW 53RD ST FL 6, DORAL, FL 33166-4783
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME71662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME71662
FLORIDA LICENSE
FL
Enumeration date
07/25/2008
Last updated
08/04/2026
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