Provider Demographics
NPI:1285618173
Name:VILORIA, REBEKAH PETARGUE (MD)
Entity type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:PETARGUE
Last Name:VILORIA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1340 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-4302
Mailing Address - Country:US
Mailing Address - Phone:617-927-6133
Mailing Address - Fax:617-247-3460
Practice Address - Street 1:1340 BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-4302
Practice Address - Country:US
Practice Address - Phone:617-927-6133
Practice Address - Fax:617-247-3460
Is Sole Proprietor?:No
Enumeration Date:2005-12-03
Last Update Date:2015-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA217138207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2018055OtherMEDICAID
MA3293060OtherAETNA
MA694882OtherCIGNA
MA132473OtherHARVARD PILGRIM
MAJ26643OtherBCBS/MANAGED CARE
MA217138OtherTUFTS HEALTH PLAN
MAA35939OtherMEDICARE
MA2018055Medicaid
MAJ26643OtherBLUE CARE 65
MA0031081OtherNEGHBORHOOD HEALTH PLAN
MA07-02641OtherUNITED HEALTHCARE
MAJ26643OtherBCBS/INDEMNITY
MA217138OtherTUFTS HEALTH PLAN
MA694882OtherCIGNA