MEDICARE: RICHARD BENABRAHAM VILORIA GUTIERREZ P.A.

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	246ZC0007X	Surgical Assistant	23-162	FL
2	363AM0700X	Medical Physician Assistant	3041-P.A.	PR
3	363AS0400X	Surgical Physician Assistant	3041-P.A.	PR
4	363A00000X	Physician Assistant	3041-P.A.	PR

General Provider Information

NPI Number	:	1528905973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD BENABRAHAM VILORIA GUTIERREZ P.A.

Provider Business Mailing Address
First Line	:	350 S MIAMI AVE APT 2715
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-1929
Country	:	US
Telephone Number	:	786-448-5858
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 S MIAMI AVE APT 2715
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-1929
Country	:	US
Telephone Number	:	786-448-5858
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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