MEDICARE: DR. BIARDA VILLAVERDE 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	207Q00000X	Family Medicine Physician	ME116847	FL

General Provider Information

NPI Number	:	1982038444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BIARDA VILLAVERDE M.D.

Provider Business Mailing Address
First Line	:	19001 NE 2ND AVE
Second Line	:	APT 1401
City	:	MIAMI
State	:	FL
Zip	:	33179-3766
Country	:	US
Telephone Number	:	786-205-5069
Fax Number	:

Provider Business Practice Location Address
First Line	:	14601 SW 29TH ST STE 109
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4715
Country	:	US
Telephone Number	:	954-800-1991
Fax Number	:	808-731-8348

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

Provider Enumeration Date	:	09/02/2013
Last Update Date	:	01/22/2025

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