MEDICARE: VIVIANA ANDREA MARTINEZ GALVIS AUD

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	231H00000X	Audiologist	AY 1982	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AY 1982	OTHER	FL	STATE OF FLORIDA AUDIOLOGIST LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881063493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIANA ANDREA MARTINEZ GALVIS AUD

Provider Business Mailing Address
First Line	:	15280 NW 79TH CT STE 200
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5873
Country	:	US
Telephone Number	:	305-558-3724
Fax Number	:	786-907-4485

Provider Business Practice Location Address
First Line	:	4302 ALTON RD
Second Line	:	SUITE 115
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2891
Country	:	US
Telephone Number	:	305-667-4515
Fax Number	:

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

Provider Enumeration Date	:	09/24/2015
Last Update Date	:	12/19/2025

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