| Doctor Name: | DR. YVELICE ANTONIA VILLAMAN |
| NPI Number: | 1851339881 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 17900nw5th St 103 Pembroke Pines, FL - 330292809 |
| Business Phone Number: | 9543920333 |
| Business Fax Number: | 9543920393 |
| Mailing Address: | 7857 Nw 192nd St, MIAMI |
| State: | FL |
| Postal Code: | 330152757 |
| Phone Number: | 3054699718 |
| Fax Number: | 3058570653 |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |