Provider Demographics
NPI:1699243501
Name:VILLAMIL, JOSE ARMANDO
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ARMANDO
Last Name:VILLAMIL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18554 SW 47TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-6222
Mailing Address - Country:US
Mailing Address - Phone:954-805-8404
Mailing Address - Fax:305-912-7381
Practice Address - Street 1:8356 SW 40TH ST STE J
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3356
Practice Address - Country:US
Practice Address - Phone:844-738-2436
Practice Address - Fax:305-912-7381
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVM9329207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology