Provider Demographics
NPI:1134653462
Name:VILANOVA CARMENATY, ISEL AMERICA (BSN/MSN)
Entity Type:Individual
Prefix:
First Name:ISEL
Middle Name:AMERICA
Last Name:VILANOVA CARMENATY
Suffix:
Gender:F
Credentials:BSN/MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8160 SW 162ND PATH
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5116
Mailing Address - Country:US
Mailing Address - Phone:786-449-9648
Mailing Address - Fax:
Practice Address - Street 1:965 W FLAGLER ST STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1139
Practice Address - Country:US
Practice Address - Phone:786-536-9714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker