Provider Demographics
NPI:1871299016
Name:VILLASMIL VERA, DANIELA C (APRN)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:C
Last Name:VILLASMIL VERA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 NW 87TH RD APT 103
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-6581
Mailing Address - Country:US
Mailing Address - Phone:754-245-3273
Mailing Address - Fax:
Practice Address - Street 1:420 NW 87TH RD APT 103
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-6581
Practice Address - Country:US
Practice Address - Phone:754-245-3273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
FL11038443363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No171M00000XOther Service ProvidersCase Manager/Care Coordinator