Provider Demographics
NPI:1194793810
Name:VIERA, AMADO (MD)
Entity type:Individual
Prefix:
First Name:AMADO
Middle Name:
Last Name:VIERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 SW 87TH AVE STE B210
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2537
Mailing Address - Country:US
Mailing Address - Phone:305-509-6868
Mailing Address - Fax:305-693-0768
Practice Address - Street 1:7800 SW 87TH AVE STE B210
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2537
Practice Address - Country:US
Practice Address - Phone:305-509-6868
Practice Address - Fax:305-548-2241
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0092820207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273055300Medicaid
FLI37380Medicare UPIN