| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EDWIN MANUEL VILLALOBOS | 1861572653 | 2024-11-08 |
Edwin M Villalobos MD [M] graduated in 1981 and primarily specializes in Interventional Pain Management.
Edwin Manuel Villalobos is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861572653. Registration indicates Edwin Manuel Villalobos is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation (Physical Medicine & Rehabilitation, ) (Specialist Network, ) (Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation) (Physical Medicine & Rehabilitation, ) (Specialist Network, ) (Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation) (Physical Medicine & Rehabilitation: Pain Medicine, ) (Specialist Network, ) (Physical Medicine & Rehabilitation Pain Medicine, Allopathic & Osteopathic Physicians) (Physical Medicine & Rehabilitation, )
| PECOS ID | 345265518 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Edwin Manuel Villalobos M.D. |
| Practice Office Address | 2692 W LAKE MARY BLVD LAKE MARY, FL US |
| Practice Office Telephone | 3217108027 |
| Practice Office Fax | 4073339974 |
| Mailing Address | 5365 W ATLANTIC AVE SUITE 504 DELRAY BEACH, FL 334848172 US |
| Business Telephone | 5612419300 |
| Business Fax | 5612419339 |
| Code | Practice | License No State |
|---|---|---|
| 208100000X PRIMARY | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Specialist Network Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians | MD0000059994
TN |
| 208100000X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Specialist Network Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians | ME44332
FL |
| 2081P2900X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation: Pain Medicine Specialist Network Physical Medicine & Rehabilitation Pain Medicine Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | ME44332
FL |
| 47633Z | OTHER | FL | MEDICARE 34259 |