Provider Demographics
NPI:1699939546
Name:EDUARDO VIERA MD PA
Entity type:Organization
Organization Name:EDUARDO VIERA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VIERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-285-8818
Mailing Address - Street 1:2455 SW 27TH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3663
Mailing Address - Country:US
Mailing Address - Phone:305-285-8818
Mailing Address - Fax:305-285-1897
Practice Address - Street 1:2455 SW 27TH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3663
Practice Address - Country:US
Practice Address - Phone:305-285-8818
Practice Address - Fax:305-285-1897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG79605Medicare UPIN