MEDICARE: DR. VIOLETTA LYRA M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	M30063407	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255382537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIOLETTA LYRA M.D.

Provider Business Mailing Address
First Line	:	1380 NE MIAMI GARDENS DR STE 260
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-4721
Country	:	US
Telephone Number	:	305-466-2496
Fax Number	:	305-466-2497

Provider Business Practice Location Address
First Line	:	1380 NE MIAMI GARDENS DR STE 260
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-4721
Country	:	US
Telephone Number	:	305-466-2496
Fax Number	:	305-466-2497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	11/26/2025

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