Healthcare Provider Details

I. General information

NPI: 1699587535
Provider Name (Legal Business Name): ARNALDO VILLALONGA MARTINEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2669 FOREST HILL BLVD STE 100
WEST PALM BEACH FL
33406-5966
US

IV. Provider business mailing address

428 WATERDANCE LN APT 822
ARLINGTON TX
76010-6235
US

V. Phone/Fax

Practice location:
  • Phone: 561-467-6560
  • Fax: 888-720-4595
Mailing address:
  • Phone: 832-275-5122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11037324
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: