Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mateo Villa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316400534

Mateo Villa is a General Surgery in Miami, Florida. Graduated from Medical College of Georgia School of Medicine in 2019, 7 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Trained at
Medical College of Georgia School of Medicine
Licensed in
CO
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

11750 Bird Rd
Miami, FL 33175-3530
Phone: (305) 223-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0073680 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316400534
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2019
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address1859 American Way, Lawrenceville, GA 30043-6614

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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