- Practice location
- 3480 Polynesian Isle Blvd, Kissimmee, FL 34746-4654
- Phone
- 877-352-5864
- Fax
- —
- Last updated
- April 1, 2026
Nelson Medina Villanueva is an Internal Medicine, Critical Care Medicine based in Kissimmee, FL. Nelson Medina Villanueva practices in Kissimmee, FL. The NPI Number for Nelson Medina Villanueva is 1790016160 and holds a License No. 17747 (PR). The current practice location address for Nelson Medina Villanueva is 3480 Polynesian Isle Blvd, Kissimmee, FL 34746-4654 and can be reached out via phone at 877-352-5864.
Provider Profile Details
- NPI Number
- 1790016160
- Provider Name
- Nelson Medina Villanueva
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3480 Polynesian Isle Blvd, Kissimmee, FL 34746-4654
- Phone Number
- 877-352-5864
- Primary Taxonomy
- Internal Medicine, Critical Care Medicine · 207RC0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 24, 2010
- Last Update Date
- April 1, 2026
- Certification Date
- April 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654 - City
- Kissimmee
- State
- Florida
- Zip
- 34746-4654
- Phone Number
- 877-352-5864
Provider Business Mailing Address Details
- Address
- 201 Lyons Ave
Newark, NJ 07112-2027 - City
- Newark
- State
- NJ
- Zip
- 07112-2027
- Phone Number
- 973-926-6639
License Information
- License Number (1)
- 17747
- License State (1)
- PR
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- ME119501
- License State (2)
- FL
- Taxonomy (2)
- Internal Medicine, Critical Care Medicine · 207RC0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nelson Medina Villanueva?
The NPI number of Nelson Medina Villanueva is 1790016160. It was assigned on January 24, 2010 and is currently active in the NPPES registry.
What is the specialty of Nelson Medina Villanueva?
Nelson Medina Villanueva is registered under the primary taxonomy Internal Medicine, Critical Care Medicine (code 207RC0200X), licensed in PR under license number 17747.
Where does Nelson Medina Villanueva practice?
The practice location is 3480 Polynesian Isle Blvd, Kissimmee, FL 34746-4654. The office can be reached at 877-352-5864 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790016160 directly on the NPPES registry website.