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NPI Code Detail

MEDICARE: MARIANA VIERA-NAVARRO PA-C

MEDICARE: MARIANA VIERA-NAVARRO PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA9102198FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA9102198OTHERFLPA STATE LICENSE

General Provider Information

NPI Number : 1225034861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANA VIERA-NAVARRO PA-C
Provider Business Mailing Address
First Line : 5939 SW 27TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33155-3136
Country : US
Telephone Number : 305-205-1314
Fax Number :
Provider Business Practice Location Address
First Line : 3915 BISCAYNE BLVD STE 406
Second Line :
City : MIAMI
State : FL
Zip : 33137-3737
Country : US
Telephone Number : 305-367-1176
Fax Number : 877-391-0039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 04/25/2019

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Directions to “ MARIANA VIERA-NAVARRO PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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