MEDICARE: ALODIA MARIA DIAZ DE VILLEGAS M.D.

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
1	2084P0804X	Child & Adolescent Psychiatry Physician	ME126016	FL
2	2084P0800X	Psychiatry Physician	ME126016	FL

General Provider Information

NPI Number	:	1801161146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALODIA MARIA DIAZ DE VILLEGAS M.D.

Provider Business Mailing Address
First Line	:	766 NW 7TH DR
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33486-3524
Country	:	US
Telephone Number	:	561-313-6261
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 GLADES RD STE 260
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-7333
Country	:	US
Telephone Number	:	561-260-5031
Fax Number	:	561-486-1281

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2012
Last Update Date	:	06/12/2025

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