Provider Demographics
NPI:1316344310
Name:VIERA-MULET, MONICA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:VIERA-MULET
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:MONICA
Other - Middle Name:REGLA
Other - Last Name:MULET-HAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 772556
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-0043
Mailing Address - Country:US
Mailing Address - Phone:305-244-0423
Mailing Address - Fax:786-732-0505
Practice Address - Street 1:11140 SW 88TH ST
Practice Address - Street 2:SUITE # 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-0901
Practice Address - Country:US
Practice Address - Phone:305-270-1006
Practice Address - Fax:305-270-1008
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9252211363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily