Healthcare Provider Details

I. General information

NPI: 1306220900
Provider Name (Legal Business Name): MARIUXI ALEXANDRA VITERI MALONE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIUXI ALEXANDRA VITERI BARRIGA MD

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 TAMIAMI TRL S STE A2
VENICE FL
34285-3668
US

IV. Provider business mailing address

PO BOX 102222
ATLANTA GA
30368-2222
US

V. Phone/Fax

Practice location:
  • Phone: 941-484-3531
  • Fax: 941-486-1701
Mailing address:
  • Phone: 239-274-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME155572
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME155572
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberME155572
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberME155572
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: