MEDICARE: MRS. ANDREA VERONICA TREVILLA P.A.-C.

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	363A00000X	Physician Assistant	9101208	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699098376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANDREA VERONICA TREVILLA P.A.-C.

Provider Business Mailing Address
First Line	:	9960 NW 116TH WAY STE 13
Second Line	:
City	:	MEDLEY
State	:	FL
Zip	:	33178-1175
Country	:	US
Telephone Number	:	786-924-1311
Fax Number	:	786-924-1313

Provider Business Practice Location Address
First Line	:	3200 SW 60TH CT STE 302
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4071
Country	:	US
Telephone Number	:	954-371-0107
Fax Number	:	305-663-2813

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

Provider Enumeration Date	:	03/09/2010
Last Update Date	:	09/30/2021

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1376552760 — FELIX I. RAMIREZ-SEIJAS M.D.
Practice Location Address:

3200 SW 60TH CT STE 304
MIAMI, FL
33155-4071

Practice Phone: 305-662-8352
Practice Fax: 786-268-1828

1700105897 — MRS. NIKE S SITZMAN
Practice Location Address:

3200 SW 60TH CT STE 302
MIAMI, FL
33155-4071

Practice Phone: 954-371-0107
Practice Fax: 305-663-2813

1003118779 — SUZANNE MARIE BOYD ARNP
Practice Location Address:

3200 SW 60TH CT STE 302
MIAMI, FL
33155-4071

Practice Phone: 954-371-0107
Practice Fax: 305-663-2813

1700170180 — DR. MATT SPENCER LALLAS M.D.
Practice Location Address:

3200 SW 60TH CT STE 302
MIAMI, FL
33155-4071

Practice Phone: 954-371-0107
Practice Fax:

1083973572 — MARYTERY FAJARDO M.D.
Practice Location Address:

3200 SW 60TH CT STE 302
MIAMI, FL
33155-4071

Practice Phone: 305-662-8330
Practice Fax:

Directions to “ MRS. ANDREA VERONICA TREVILLA P.A.-C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.