ANDRES R VILLAR MD NPI 1841384948

NPI Information

  • NPI: 1841384948
  • Provider Name: ANDRES R VILLAR MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: CHILDREN'S MEDICAL CENTER
  • CLIA Number: 10D0978458
  • Address: 1419 S 6TH ST
    MACCLENNY, FL
    ZIP 32063
  • Phone: (904) 653-1822

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NPI Details

ANDRES R VILLAR MD is a pediatrics in Macclenny, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ANDRES R VILLAR MD NPI is 1841384948. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Children's Medical Center.

The provider's business location address is:

1419 S 6TH ST
MACCLENNY, FL
ZIP 32063-624
Phone: (904) 653-1822
Fax: (904) 259-1225

The provider's authorized official is Andres R Villar .
The authorized official title is Administrator and has the following contact phone number (386) 755-5044.

The CLIA number assigned to this NPI record is 10D0978458 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1370861605MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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