Provider Demographics
NPI:1811338395
Name:VILLAMIL, ASTRID PAOLA
Entity type:Individual
Prefix:
First Name:ASTRID
Middle Name:PAOLA
Last Name:VILLAMIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9580 NW 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33150-1706
Mailing Address - Country:US
Mailing Address - Phone:786-443-5592
Mailing Address - Fax:
Practice Address - Street 1:1166 KANE CONCOURSE
Practice Address - Street 2:201
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2000
Practice Address - Country:US
Practice Address - Phone:305-866-1966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI21362355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant