Healthcare Provider Details
I. General information
NPI: 1073076543
Provider Name (Legal Business Name): MARIA ANDREINA VERA SILVA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/10/2019
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8950 N KENDALL DR STE 403W
MIAMI FL
33176-2132
US
IV. Provider business mailing address
PO BOX 198054
ATLANTA GA
30384-8054
US
V. Phone/Fax
- Phone: 786-596-3876
- Fax: 786-533-9989
- Phone: 786-596-3876
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207WX0109X |
| Taxonomy | Neuro-ophthalmology Physician |
| License Number | ME162250 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | ME162250 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: