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NPI Code Detail

MEDICARE: CHAVELYS VILLAR ARNP

MEDICARE: CHAVELYS VILLAR ARNP
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
1363LF0000XFamily Nurse PractitionerAPRN11039149FL

General Provider Information

NPI Number : 1861284523
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAVELYS VILLAR ARNP
Provider Business Mailing Address
First Line : 5955 PONCE DE LEON BLVD
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-2423
Country : US
Telephone Number : 305-661-1515
Fax Number : 305-662-3723
Provider Business Practice Location Address
First Line : 3100 SW 62ND AVE STE 121
Second Line :
City : MIAMI
State : FL
Zip : 33155-3009
Country : US
Telephone Number : 305-662-8360
Fax Number : 833-464-4214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2025
Last Update Date : 12/11/2025

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