; NPI #1114005931

Contact Information

ROSITA V VILLANUEVA, MD

4200 WARRENSVILLE CENTER RD
SUITE# 380
BEACHWOOD, OH 44122-7051

Phone: 216-283-5144
Fax: 216-283-5750
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for

NPI Number 1114005931

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 11/01/2006

Last updated 07/25/2013 - About 13 years ago

Identifiers

OH	License #	35032999
OH	Medicaid	0187499

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Children

NPI Profile & details for

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