Provider Demographics
NPI:1760375943
Name:VILLEGAS PAVIA, KAREN ROXANA
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ROXANA
Last Name:VILLEGAS PAVIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 CASTLETON AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-3028
Mailing Address - Country:US
Mailing Address - Phone:917-530-0485
Mailing Address - Fax:
Practice Address - Street 1:177 CASTLETON AVE FL 1
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-3028
Practice Address - Country:US
Practice Address - Phone:917-530-0485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula