Healthcare Provider Details

I. General information

NPI: 1821416843
Provider Name (Legal Business Name): EFRAIN ARIAS VILTRES FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2014
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4155 SW 130TH AVE STE 201
MIAMI FL
33175-3417
US

IV. Provider business mailing address

1734 SW 151ST PL
MIAMI FL
33185-5694
US

V. Phone/Fax

Practice location:
  • Phone: 305-455-3500
  • Fax:
Mailing address:
  • Phone: 786-641-1673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11004484
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9496639
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: