Provider Demographics
NPI:1326467887
Name:VENTO, JULIET (MD)
Entity type:Individual
Prefix:DR
First Name:JULIET
Middle Name:
Last Name:VENTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YULIETH
Other - Middle Name:
Other - Last Name:VENTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4665 NW 83RD PATH
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5396
Mailing Address - Country:US
Mailing Address - Phone:305-915-0437
Mailing Address - Fax:786-743-5312
Practice Address - Street 1:801 NW 37TH AVE STE 216
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3883
Practice Address - Country:US
Practice Address - Phone:305-915-0437
Practice Address - Fax:786-743-5312
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME125662OtherSTATE LICENSE