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NPI Code Detail

MEDICARE: DAISY SILVA VILLEDA

MEDICARE:   DAISY  SILVA VILLEDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171R00000XInterpreter

General Provider Information

NPI Number : 1396678504
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY SILVA VILLEDA
Provider Business Mailing Address
First Line : 8465 ATLAS AVE
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55077-3618
Country : US
Telephone Number : 612-394-9798
Fax Number :
Provider Business Practice Location Address
First Line : 8465 ATLAS AVE
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55077-3618
Country : US
Telephone Number : 612-394-9798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ DAISY SILVA VILLEDA ” Practice Location

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