Provider Demographics
NPI:1316057763
Name:VILLA, LETTY M (MD)
Entity type:Individual
Prefix:DR
First Name:LETTY
Middle Name:M
Last Name:VILLA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6705 SW 57 AVE., SUITE # 420
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33143
Mailing Address - Country:US
Mailing Address - Phone:305-667-8418
Mailing Address - Fax:305-667-3365
Practice Address - Street 1:6705 SW 57 AVE., SUITE # 420
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-667-8418
Practice Address - Fax:305-667-3365
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2018-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME43761207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics